Provider Demographics
NPI:1841282209
Name:MICHIGAN HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:MICHIGAN HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARJEEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-692-0840
Mailing Address - Street 1:16000 WEST NILE MILE ROAD
Mailing Address - Street 2:SUITE 607
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075
Mailing Address - Country:US
Mailing Address - Phone:734-692-0840
Mailing Address - Fax:734-692-0849
Practice Address - Street 1:16000 WEST NILE MILE ROAD
Practice Address - Street 2:SUITE 607
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075
Practice Address - Country:US
Practice Address - Phone:734-692-0840
Practice Address - Fax:734-692-0849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-21
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI23-7560Medicare UPIN