Provider Demographics
NPI:1295512986
Name:WISERCARE HOME CARE LLC
Entity type:Organization
Organization Name:WISERCARE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAGHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MEZHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-658-6765
Mailing Address - Street 1:2021 MONROE ST STE 105
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2926
Mailing Address - Country:US
Mailing Address - Phone:972-658-6765
Mailing Address - Fax:
Practice Address - Street 1:2021 MONROE ST STE 105
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2926
Practice Address - Country:US
Practice Address - Phone:972-658-6765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care