Provider Demographics
NPI:1801403787
Name:NANOH HOMECARE SERVICES LLC
Entity Type:Organization
Organization Name:NANOH HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FATMEH
Authorized Official - Middle Name:
Authorized Official - Last Name:MACKIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-556-7701
Mailing Address - Street 1:10037 BURLEY ST APT B3
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48120-1671
Mailing Address - Country:US
Mailing Address - Phone:734-556-7701
Mailing Address - Fax:
Practice Address - Street 1:10037 BURLEY ST APT B3
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48120-1671
Practice Address - Country:US
Practice Address - Phone:734-556-7701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health