Provider Demographics
NPI:1316270234
Name:AMERICAN NURSING HOME HEALTH CARE INC
Entity type:Organization
Organization Name:AMERICAN NURSING HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAID
Authorized Official - Middle Name:
Authorized Official - Last Name:KAKOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:5867-391-6950
Mailing Address - Street 1:6049 19 MILE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-2105
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6049 19 MILE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-2105
Practice Address - Country:US
Practice Address - Phone:586-739-6950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239284Medicare Oscar/Certification