Provider Demographics
NPI:1497598387
Name:BETTER HOME CARE PROVIDER
Entity type:Organization
Organization Name:BETTER HOME CARE PROVIDER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:MARTHA
Authorized Official - Last Name:FAISSAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-948-9696
Mailing Address - Street 1:27216 FORD RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2859
Mailing Address - Country:US
Mailing Address - Phone:313-948-9696
Mailing Address - Fax:
Practice Address - Street 1:27216 FORD RD
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-2859
Practice Address - Country:US
Practice Address - Phone:313-948-9696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI253Z00000XMedicaid
MI253Z00000XOtherIN HOME SUPPORTIVE CARE