Provider Demographics
NPI:1316279771
Name:SELECT HOME HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:SELECT HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAAHIR
Authorized Official - Middle Name:J
Authorized Official - Last Name:JOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-502-2096
Mailing Address - Street 1:29500 SOUTHFIELD RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2030
Mailing Address - Country:US
Mailing Address - Phone:248-233-6186
Mailing Address - Fax:248-233-6138
Practice Address - Street 1:29500 SOUTHFIELD RD
Practice Address - Street 2:SUITE 130
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2030
Practice Address - Country:US
Practice Address - Phone:248-233-6186
Practice Address - Fax:248-233-6138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health