MEDICARE: CAMP HOME HEALTH SERVICES, 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508863028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMP HOME HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	8055 INDEPENDENCE DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48313-3825
Country	:	US
Telephone Number	:	586-977-7953
Fax Number	:	586-977-7968

Provider Business Practice Location Address
First Line	:	8055 INDEPENDENCE DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48313-3825
Country	:	US
Telephone Number	:	586-977-7953
Fax Number	:	586-977-7968

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. ALVIN M PEDROCHE
Credential	:
Telephone Number	:	586-977-7953

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	06/10/2010

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