Provider Demographics
NPI:1992943948
Name:SBT HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:SBT HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TAUSIF
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-293-0739
Mailing Address - Street 1:31875 PLYMOUTH RD
Mailing Address - Street 2:# 10
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-1907
Mailing Address - Country:US
Mailing Address - Phone:734-293-0739
Mailing Address - Fax:734-293-0728
Practice Address - Street 1:31875 PLYMOUTH RD
Practice Address - Street 2:# 10
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-1907
Practice Address - Country:US
Practice Address - Phone:734-293-0739
Practice Address - Fax:734-293-0728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health