MEDICARE: PROFESSIONAL HOME HEALTH CARE, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	237544	MI

General Provider Information

NPI Number	:	1376538199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFESSIONAL HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	25050 W. OUTER DRIVE
Second Line	:	SUITE 204
City	:	LINCOLN PARK
State	:	MI
Zip	:	48146-1297
Country	:	US
Telephone Number	:	734-667-3478
Fax Number	:	734-667-3479

Provider Business Practice Location Address
First Line	:	25050 W. OUTER DRIVE
Second Line	:	SUITE 204
City	:	LINCOLN PARK
State	:	MI
Zip	:	48146-1297
Country	:	US
Telephone Number	:	734-667-3478
Fax Number	:	734-667-3479

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. MUHAMMAD A CHAUDHRY
Credential	:
Telephone Number	:	734-231-0858

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	06/14/2016

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