MEDICARE: HOME HELP FOR AGING

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1386494771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HELP FOR AGING

Provider Business Mailing Address
First Line	:	4038 CHAPMAN DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-1915
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4038 CHAPMAN DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-1915
Country	:	US
Telephone Number	:	248-825-6637
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JOVIAN KALASHO
Credential	:
Telephone Number	:	248-825-6637

Provider Enumeration Date	:	03/26/2024
Last Update Date	:	03/26/2024

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Directions to “HOME HELP FOR AGING ” Practice Location

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