Provider Demographics
NPI:1588891212
Name:ON-TRACK HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:ON-TRACK HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-415-0058
Mailing Address - Street 1:19104 GUDITH RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48183-1009
Mailing Address - Country:US
Mailing Address - Phone:313-415-0058
Mailing Address - Fax:734-448-1689
Practice Address - Street 1:19104 GUDITH RD
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN TWP
Practice Address - State:MI
Practice Address - Zip Code:48183-1009
Practice Address - Country:US
Practice Address - Phone:313-415-0058
Practice Address - Fax:734-448-1689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-21
Last Update Date:2009-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health