Provider Demographics
NPI:1538406509
Name:PRIORITY HOME HEALTH CARE INC
Entity type:Organization
Organization Name:PRIORITY HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:IFTIKHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAHZAD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:248-747-3092
Mailing Address - Street 1:21700 NORTHWESTERN HWY STE 835
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4902
Mailing Address - Country:US
Mailing Address - Phone:248-747-3092
Mailing Address - Fax:248-536-2301
Practice Address - Street 1:21700 NORTHWESTERN HWY STE 835
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4902
Practice Address - Country:US
Practice Address - Phone:248-747-3092
Practice Address - Fax:248-562-3222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-11
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health