Provider Demographics
NPI:1669771705
Name:NOVA HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:NOVA HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:
Authorized Official - Last Name:AKHLAQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-595-8061
Mailing Address - Street 1:5820 N CANTON CENTER RD STE 180
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2680
Mailing Address - Country:US
Mailing Address - Phone:313-595-8061
Mailing Address - Fax:
Practice Address - Street 1:5820 N CANTON CENTER RD STE 180
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2680
Practice Address - Country:US
Practice Address - Phone:313-595-8061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health