MEDICARE: OMAR ELZOOBI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	3747P1801X	Personal Care Attendant	MI
2	376J00000X	Homemaker	MI
3	251E00000X	Home Health Agency	MI

General Provider Information

NPI Number	:	1134082019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMAR ELZOOBI

Provider Business Mailing Address
First Line	:	4001 LINCOLN BLVD
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48125-2551
Country	:	US
Telephone Number	:	313-674-0172
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 LINCOLN BLVD
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48125-2551
Country	:	US
Telephone Number	:	313-674-0172
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

Similar Medicare Providers

1467807016 — CONNOR LAWRENCE ROSE PSYD
Practice Location Address:

2551 CHARNEY RD
UNIVERSITY HEIGHTS, OH
44118-4402

Practice Phone: 503-558-5887
Practice Fax:

1447723432 — DONNA SOENS
Practice Location Address:

114 S SCHOOL LN
PROSPECT HEIGHTS, IL
60070-2551

Practice Phone: 847-818-8404
Practice Fax:

1942155114 — PUREHAVEN HOMECARE LLC
Practice Location Address:

4139 WILLIAMS ST
DEARBORN HEIGHTS, MI
48125-2751

Practice Phone: 734-262-5082
Practice Fax:

1154992196 — LONGEVITY CLINICAL LTC ASSOCIATES OF MICHIGAN PLLC
Practice Location Address:

26505 POWERS AVE
DEARBORN HEIGHTS, MI
48125-1327

Practice Phone: 313-291-6200
Practice Fax:

1659226595 — NEDA FARES NP
Practice Location Address:

3956 WESTPOINT ST
DEARBORN HEIGHTS, MI
48125-2125

Practice Phone: 313-539-0944
Practice Fax:

1811996333 — DR. RANI THANGAM POTTI M.D. M.P.H.
Practice Location Address:

4215 S BEECH DALY ST
DEARBORN HEIGHTS, MI
48125-1567

Practice Phone: 313-278-7750
Practice Fax: 313-278-8729

Directions to “ OMAR ELZOOBI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.