Healthcare Provider Details

I. General information

NPI: 1750246187
Provider Name (Legal Business Name): NEXGEN HOMESUPPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11758 GALLAGHER ST
HAMTRAMCK MI
48212-4107
US

IV. Provider business mailing address

11758 GALLAGHER ST
HAMTRAMCK MI
48212-4107
US

V. Phone/Fax

Practice location:
  • Phone: 313-502-8242
  • Fax:
Mailing address:
  • Phone: 313-502-8242
  • Fax:

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: MD MEZANUR RAHMAN KHAN
Title or Position: OPERATIONAL MANAGER
Credential:
Phone: 313-502-8242