Provider Demographics
NPI:1902832215
Name:QUANTUM HOMECARE, INC.
Entity Type:Organization
Organization Name:QUANTUM HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAROON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-264-2720
Mailing Address - Street 1:38600 VAN DYKE AVE
Mailing Address - Street 2:SUITE 130A
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-1170
Mailing Address - Country:US
Mailing Address - Phone:586-264-2720
Mailing Address - Fax:586-264-2721
Practice Address - Street 1:38600 VAN DYKE AVE
Practice Address - Street 2:SUITE 130A
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-1170
Practice Address - Country:US
Practice Address - Phone:586-264-2720
Practice Address - Fax:586-264-2721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health