Provider Demographics
NPI:1881220168
Name:MIDWEST PRIVATE DUTY INC.
Entity Type:Organization
Organization Name:MIDWEST PRIVATE DUTY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMARJI
Authorized Official - Middle Name:
Authorized Official - Last Name:GHUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-538-8495
Mailing Address - Street 1:29226 ORCHARD LAKE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2984
Mailing Address - Country:US
Mailing Address - Phone:248-538-8495
Mailing Address - Fax:248-538-8362
Practice Address - Street 1:29226 ORCHARD LAKE RD STE 120
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2984
Practice Address - Country:US
Practice Address - Phone:248-538-8495
Practice Address - Fax:248-538-8362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care