Provider Demographics
NPI:1942741525
Name:SIMANCARE
Entity Type:Organization
Organization Name:SIMANCARE
Other - Org Name:QUALITY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OSMAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:DIRIE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:734-379-0736
Mailing Address - Street 1:26263 GIBRALTAR RD STE 700
Mailing Address - Street 2:
Mailing Address - City:FLAT ROCK
Mailing Address - State:MI
Mailing Address - Zip Code:48134-1599
Mailing Address - Country:US
Mailing Address - Phone:734-379-0736
Mailing Address - Fax:734-379-3998
Practice Address - Street 1:26263 GIBRALTAR RD STE 700
Practice Address - Street 2:
Practice Address - City:FLAT ROCK
Practice Address - State:MI
Practice Address - Zip Code:48134-1599
Practice Address - Country:US
Practice Address - Phone:734-379-0736
Practice Address - Fax:734-379-3998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7516263251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health