Provider Demographics
NPI:1215913827
Name:HOMECARE ALLIANCE, INC.
Entity type:Organization
Organization Name:HOMECARE ALLIANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ZULFIQAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZULFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-581-7760
Mailing Address - Street 1:13700 MICHIGAN AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3489
Mailing Address - Country:US
Mailing Address - Phone:313-581-7760
Mailing Address - Fax:313-581-7004
Practice Address - Street 1:13700 MICHIGAN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3489
Practice Address - Country:US
Practice Address - Phone:313-581-7760
Practice Address - Fax:313-581-7004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-16
Last Update Date:2007-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237452Medicare ID - Type Unspecified