Healthcare Provider Details

I. General information

NPI: 1922005420
Provider Name (Legal Business Name): AMERICARE ACQUISITION CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 02/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19211 ANGLIN ST
DETROIT MI
48234-1460
US

IV. Provider business mailing address

19211 ANGLIN ST
DETROIT MI
48234-1460
US

V. Phone/Fax

Practice location:
  • Phone: 313-893-9745
  • Fax: 313-893-1735
Mailing address:
  • Phone: 313-893-9745
  • Fax: 313-893-1735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MOHAMMAD A QAZI
Title or Position: CEO
Credential:
Phone: 248-386-0300