Provider Demographics
NPI:1831422666
Name:PROFICIENT HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:PROFICIENT HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:SARWAT
Authorized Official - Middle Name:IQBAL
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-530-5108
Mailing Address - Street 1:2042 KIRKTON DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1623
Mailing Address - Country:US
Mailing Address - Phone:586-530-5108
Mailing Address - Fax:
Practice Address - Street 1:2042 KIRKTON DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1623
Practice Address - Country:US
Practice Address - Phone:586-530-5108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health