Provider Demographics
NPI:1376286492
Name:AHMEN HOME HEALTH CARE
Entity type:Organization
Organization Name:AHMEN HOME HEALTH CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENURAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MENANNDRUZZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-879-0111
Mailing Address - Street 1:18600 FLORENCE ST STE T6D
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-6600
Mailing Address - Country:US
Mailing Address - Phone:586-879-0111
Mailing Address - Fax:
Practice Address - Street 1:18600 FLORENCE ST STE T6D
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-6600
Practice Address - Country:US
Practice Address - Phone:586-879-1110
Practice Address - Fax:586-879-0555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-16
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care
No253Z00000XAgenciesIn Home Supportive Care
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI000000OtherACCEPT AUTO INSURANCES, WORKERS COMPENSATION INSURANCE,