Healthcare Provider Details

I. General information

NPI: 1194906776
Provider Name (Legal Business Name): FINE HOME HEALTH CARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2007
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31690 W 12 MILE RD STE 102
FARMINGTON HILLS MI
48334-4404
US

IV. Provider business mailing address

31690 W 12 MILE RD STE 102
FARMINGTON HILLS MI
48334-4404
US

V. Phone/Fax

Practice location:
  • Phone: 248-328-2939
  • Fax: 248-328-2941
Mailing address:
  • Phone: 248-328-2939
  • Fax: 248-328-2941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN GASSO
Title or Position: ADMINISTRATOR
Credential:
Phone: 248-328-2939