Provider Demographics
NPI:1801969415
Name:CARE-PRO HOME HEALTH SYSTEM, INC.
Entity type:Organization
Organization Name:CARE-PRO HOME HEALTH SYSTEM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUISITO
Authorized Official - Middle Name:
Authorized Official - Last Name:VITUG
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:248-336-2203
Mailing Address - Street 1:28157 DEQUINDRE RD
Mailing Address - Street 2:SUITE B - 2ND FLOOR
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3054
Mailing Address - Country:US
Mailing Address - Phone:248-336-2203
Mailing Address - Fax:
Practice Address - Street 1:28157 DEQUINDRE RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3054
Practice Address - Country:US
Practice Address - Phone:248-336-2203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237623Medicare ID - Type UnspecifiedHOME HEALTH PROVIDER NO.