MEDICARE: APNA GHAR

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	:	1427531185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APNA GHAR

Provider Business Mailing Address
First Line	:	5022 SILVERWOOD CT
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3372
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5022 SILVERWOOD CT
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3372
Country	:	US
Telephone Number	:	248-763-8548
Fax Number	:

Authorized Official
Title or Position	:	ECO
Name	:	SHAISTA KAZMI
Credential	:
Telephone Number	:	248-325-9028

Provider Enumeration Date	:	09/10/2018
Last Update Date	:	09/10/2018

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