Provider Demographics
NPI:1245771666
Name:HOME CARE ASSOCIATES OF MI, LLC
Entity type:Organization
Organization Name:HOME CARE ASSOCIATES OF MI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANUR
Authorized Official - Middle Name:
Authorized Official - Last Name:SIKDAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-983-6932
Mailing Address - Street 1:30050 HOOVER RD STE C
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-2544
Mailing Address - Country:US
Mailing Address - Phone:586-983-6932
Mailing Address - Fax:586-261-5513
Practice Address - Street 1:30050 HOOVER RD STE C
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-2544
Practice Address - Country:US
Practice Address - Phone:586-983-6932
Practice Address - Fax:586-261-5513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-17
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7948868251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health