Provider Demographics
NPI:1194754838
Name:SENIOR LINK HOME HEALTH CARE, INC
Entity type:Organization
Organization Name:SENIOR LINK HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:BHAWANDAS
Authorized Official - Last Name:ADWANI
Authorized Official - Suffix:
Authorized Official - Credentials:MBBS
Authorized Official - Phone:313-565-0937
Mailing Address - Street 1:900 WILSHIRE DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-1634
Mailing Address - Country:US
Mailing Address - Phone:248-273-0937
Mailing Address - Fax:248-273-4289
Practice Address - Street 1:900 WILSHIRE DR
Practice Address - Street 2:SUITE 104
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-1634
Practice Address - Country:US
Practice Address - Phone:248-273-0937
Practice Address - Fax:248-273-4289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI23-7610Medicare ID - Type UnspecifiedHOME HEALTH CARE