Provider Demographics
NPI:1811062789
Name:AMB HEALTHCARE, INC.
Entity type:Organization
Organization Name:AMB HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAJID
Authorized Official - Middle Name:H
Authorized Official - Last Name:HAKIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-488-2000
Mailing Address - Street 1:28275 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3766
Mailing Address - Country:US
Mailing Address - Phone:248-488-2000
Mailing Address - Fax:248-488-2002
Practice Address - Street 1:28275 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3766
Practice Address - Country:US
Practice Address - Phone:248-488-2000
Practice Address - Fax:248-488-2002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-23
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health