Provider Demographics
NPI:1992704563
Name:ASSURED CARE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:ASSURED CARE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:ZAHIRE
Authorized Official - Last Name:HAQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-262-2200
Mailing Address - Street 1:25925 TELEGRAPH RD STE 310
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-2527
Mailing Address - Country:US
Mailing Address - Phone:248-262-2200
Mailing Address - Fax:248-262-2208
Practice Address - Street 1:25925 TELEGRAPH RD STE 310
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-2527
Practice Address - Country:US
Practice Address - Phone:248-262-2200
Practice Address - Fax:248-262-2208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIN/A251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4129719Medicaid
MI237439Medicare ID - Type UnspecifiedPROVIDER NUMBER