Provider Demographics
NPI:1285937797
Name:HOMETOWN HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:HOMETOWN HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TARIQ
Authorized Official - Middle Name:Y
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-250-3427
Mailing Address - Street 1:30757 GREENFIELD RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-1511
Mailing Address - Country:US
Mailing Address - Phone:734-250-3427
Mailing Address - Fax:248-203-6634
Practice Address - Street 1:30757 GREENFIELD RD
Practice Address - Street 2:SUITE A
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-1511
Practice Address - Country:US
Practice Address - Phone:734-250-3427
Practice Address - Fax:248-203-6634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health