Healthcare Provider Details

I. General information

NPI: 1114913159
Provider Name (Legal Business Name): FIRST HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44968 FORD RD STE H
CANTON MI
48187-2900
US

IV. Provider business mailing address

44968 FORD RD STE H
CANTON MI
48187-2900
US

V. Phone/Fax

Practice location:
  • Phone: 248-559-5661
  • Fax: 248-559-5669
Mailing address:
  • Phone: 248-559-5661
  • Fax: 248-559-5669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: AHMED MALIK
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 248-559-5661