MEDICARE: PLATINUM HOME 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		MI

General Provider Information

NPI Number	:	1396735304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLATINUM HOME CARE INC

Provider Business Mailing Address
First Line	:	7140 W FORT ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48209-2917
Country	:	US
Telephone Number	:	313-388-0510
Fax Number	:	313-388-0593

Provider Business Practice Location Address
First Line	:	2900 S FORT ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48217-1061
Country	:	US
Telephone Number	:	313-388-0510
Fax Number	:	313-388-0593

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DR. MUHAMMAD SADIQ
Credential	:
Telephone Number	:	313-388-0510

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	12/06/2007

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Directions to “PLATINUM HOME CARE INC ” Practice Location

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