Provider Demographics
NPI:1962656306
Name:ATLANTIC HOME HEALTH CARE INC.
Entity type:Organization
Organization Name:ATLANTIC HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:EBURUCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-948-9714
Mailing Address - Street 1:21701 W 11 MILE RD STE 12
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-3713
Mailing Address - Country:US
Mailing Address - Phone:248-688-9771
Mailing Address - Fax:248-688-9773
Practice Address - Street 1:21701 W 11 MILE RD STE 12
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-3713
Practice Address - Country:US
Practice Address - Phone:248-688-9771
Practice Address - Fax:248-688-9773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health