MEDICARE: E&G HOME CARE SERVICE

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	:	1396604286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E&G HOME CARE SERVICE

Provider Business Mailing Address
First Line	:	7320 WOODVIEW ST APT 1
Second Line	:
City	:	WESTLAND
State	:	MI
Zip	:	48185-5902
Country	:	US
Telephone Number	:	980-355-1699
Fax Number	:

Provider Business Practice Location Address
First Line	:	7320 WOODVIEW ST APT 1
Second Line	:
City	:	WESTLAND
State	:	MI
Zip	:	48185-5902
Country	:	US
Telephone Number	:	980-355-1699
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ DIRECTOR
Name	:	GAZMENT AJDARI
Credential	:
Telephone Number	:	980-355-1699

Provider Enumeration Date	:	01/17/2026
Last Update Date	:	01/17/2026

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Directions to “E&G HOME CARE SERVICE ” Practice Location

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