Provider Demographics
NPI:1952417826
Name:COMPREHENSIVE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:COMPREHENSIVE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MAHMOUD
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALDWAKE
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:313-582-7600
Mailing Address - Street 1:13365 MICHIGAN AVE
Mailing Address - Street 2:#213
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126
Mailing Address - Country:US
Mailing Address - Phone:313-582-7600
Mailing Address - Fax:313-584-6554
Practice Address - Street 1:13365 MICHIGAN AVE
Practice Address - Street 2:#213
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126
Practice Address - Country:US
Practice Address - Phone:313-582-7600
Practice Address - Fax:313-584-6554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4689071Medicaid
MI117326OtherPPOM
MI0E948OtherBCBSM
MI4689071Medicaid