Provider Demographics
NPI:1811217599
Name:BLUE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:BLUE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TALAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-383-9957
Mailing Address - Street 1:950 STEPHENSON HWY
Mailing Address - Street 2:SUITE 211
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1113
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:950 STEPHENSON HWY
Practice Address - Street 2:SUITE 211
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1113
Practice Address - Country:US
Practice Address - Phone:734-383-9957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health