Provider Demographics
NPI:1891852836
Name:CEAMAR HOME CARE INC
Entity Type:Organization
Organization Name:CEAMAR HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBERA
Authorized Official - Middle Name:K
Authorized Official - Last Name:DENSON
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:313-422-3753
Mailing Address - Street 1:36561 JEFFERSON CT APT 830
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-1946
Mailing Address - Country:US
Mailing Address - Phone:313-422-3753
Mailing Address - Fax:
Practice Address - Street 1:36561 JEFFERSON CT
Practice Address - Street 2:APT 830
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-1946
Practice Address - Country:US
Practice Address - Phone:313-422-3753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI70034M251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health