Provider Demographics
NPI:1851780548
Name:CASON HOME CARE INC
Entity type:Organization
Organization Name:CASON HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KELECHI
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBAKWURU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-721-5164
Mailing Address - Street 1:25755 CONTINENTAL ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-1809
Mailing Address - Country:US
Mailing Address - Phone:248-721-5164
Mailing Address - Fax:313-255-2101
Practice Address - Street 1:25755 CONTINENTAL ST
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-1809
Practice Address - Country:US
Practice Address - Phone:248-721-5164
Practice Address - Fax:313-255-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-18
Last Update Date:2015-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care