Provider Demographics
NPI:1154362358
Name:EXCEPTIONAL HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:EXCEPTIONAL HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ZAHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:248-539-2273
Mailing Address - Street 1:31000 NORTHWESTERN HWY STE 145
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2585
Mailing Address - Country:US
Mailing Address - Phone:248-539-2273
Mailing Address - Fax:248-539-9266
Practice Address - Street 1:31000 NORTHWESTERN HWY STE 145
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2585
Practice Address - Country:US
Practice Address - Phone:248-539-2273
Practice Address - Fax:248-539-9266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4614221Medicaid
MI237503Medicare ID - Type UnspecifiedHOME HEALTHCARE