Provider Demographics
NPI:1669793659
Name:PEGASUS HOME HEALTH CARE INC
Entity type:Organization
Organization Name:PEGASUS HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:JUNAID
Authorized Official - Last Name:ZULMANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-522-7093
Mailing Address - Street 1:24454 VERDANT DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-2119
Mailing Address - Country:US
Mailing Address - Phone:248-522-7093
Mailing Address - Fax:248-715-6148
Practice Address - Street 1:24454 VERDANT DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-2119
Practice Address - Country:US
Practice Address - Phone:248-522-7093
Practice Address - Fax:248-715-6148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-14
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health