Provider Demographics
NPI:1780738336
Name:HEALTH ONE HOMECARE INC
Entity type:Organization
Organization Name:HEALTH ONE HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TIMBAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-268-2390
Mailing Address - Street 1:32620 CONCORD DR
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-1110
Mailing Address - Country:US
Mailing Address - Phone:248-268-2390
Mailing Address - Fax:248-268-2839
Practice Address - Street 1:32620 CONCORD DR
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-1110
Practice Address - Country:US
Practice Address - Phone:248-268-2390
Practice Address - Fax:248-268-2839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health