Healthcare Provider Details

I. General information

NPI: 1295732956
Provider Name (Legal Business Name): CONCERNED HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 N FIRST ST
HARBOR BEACH MI
48441-1101
US

IV. Provider business mailing address

PO BOX 110 136 N FIRST ST
HARBOR BEACH MI
48441-0110
US

V. Phone/Fax

Practice location:
  • Phone: 989-479-3101
  • Fax: 989-479-3529
Mailing address:
  • Phone: 989-479-3101
  • Fax: 989-479-3529

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: MRS. EMELIN JOY TAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: BSN RN CEO
Phone: 989-479-3101