Provider Demographics
NPI:1952567737
Name:PATIENT CARE HOME HEALTH SPECIALIST, INC
Entity type:Organization
Organization Name:PATIENT CARE HOME HEALTH SPECIALIST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHAHAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-552-1333
Mailing Address - Street 1:16000 W. NINE MILE ROAD
Mailing Address - Street 2:SUITE # 412
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4839
Mailing Address - Country:US
Mailing Address - Phone:248-552-1333
Mailing Address - Fax:248-858-2894
Practice Address - Street 1:16000 W 9 MILE RD
Practice Address - Street 2:SUITE # 412
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4808
Practice Address - Country:US
Practice Address - Phone:248-552-1333
Practice Address - Fax:248-858-2894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239058Medicare Oscar/Certification