Healthcare Provider Details

I. General information

NPI: 1891775359
Provider Name (Legal Business Name): SENIOR HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4204 MARTIN RD SUITE E
COMMERCE TOWNSHIP MI
48390-4135
US

IV. Provider business mailing address

4204 MARTIN RD SUITE E
COMMERCE TOWNSHIP MI
48390-4135
US

V. Phone/Fax

Practice location:
  • Phone: 800-736-9149
  • Fax: 800-233-0933
Mailing address:
  • Phone: 800-736-9149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number5301006777
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateMI

VIII. Authorized Official

Name: THOMAS HALLER
Title or Position: PRESIDENT
Credential:
Phone: 800-736-9149