Provider Demographics
NPI:1558506600
Name:ANN ARBOR HOME HEALTH, INCORPORATED
Entity type:Organization
Organization Name:ANN ARBOR HOME HEALTH, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ESTELITO
Authorized Official - Middle Name:TINANA
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-292-8044
Mailing Address - Street 1:4231 CENTER VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-4311
Mailing Address - Country:US
Mailing Address - Phone:734-975-0181
Mailing Address - Fax:734-975-8773
Practice Address - Street 1:4231 CENTER VALLEY DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-4311
Practice Address - Country:US
Practice Address - Phone:734-975-0181
Practice Address - Fax:734-975-8773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health