Provider Demographics
NPI:1194507467
Name:SOHID-NESA HOME CARE
Entity type:Organization
Organization Name:SOHID-NESA HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUMON
Authorized Official - Middle Name:
Authorized Official - Last Name:KOBIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-696-9477
Mailing Address - Street 1:4036 GARBOR DR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-3049
Mailing Address - Country:US
Mailing Address - Phone:586-696-9477
Mailing Address - Fax:
Practice Address - Street 1:28501 RYAN RD STE C
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092-4178
Practice Address - Country:US
Practice Address - Phone:586-696-9477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty