Provider Demographics
NPI:1851415590
Name:AL-HODA HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:AL-HODA HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HODA
Authorized Official - Middle Name:
Authorized Official - Last Name:SABBAGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-581-4806
Mailing Address - Street 1:10365 HAGGERTY ST
Mailing Address - Street 2:SUITE 1 A
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2485
Mailing Address - Country:US
Mailing Address - Phone:313-581-4806
Mailing Address - Fax:313-582-4806
Practice Address - Street 1:10365 HAGGERTY ST
Practice Address - Street 2:SUITE 1 A
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2485
Practice Address - Country:US
Practice Address - Phone:313-581-4806
Practice Address - Fax:313-582-4806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI23-7719OtherCMS CERTIFICATION NUMBER (CCN)