Provider Demographics
NPI:1720131584
Name:A1 HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:A1 HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUCHITRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBRAMANAIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-401-4552
Mailing Address - Street 1:25500 MEADOWBROOK RD
Mailing Address - Street 2:SUITE #215
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-1878
Mailing Address - Country:US
Mailing Address - Phone:248-430-4586
Mailing Address - Fax:248-430-4570
Practice Address - Street 1:25500 MEADOWBROOK RD
Practice Address - Street 2:SUITE 215
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1878
Practice Address - Country:US
Practice Address - Phone:248-430-4586
Practice Address - Fax:248-430-4570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237775Medicare PIN