Healthcare Provider Details
I. General information
NPI: 1427075084
Provider Name (Legal Business Name): WEST HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21600 GREENFIELD RD SUITE 234
OAK PARK MI
48237-2539
US
IV. Provider business mailing address
18685 OAKFIELD ST
DETROIT MI
48235-3060
US
V. Phone/Fax
- Phone: 248-967-0363
- Fax: 248-967-0364
- Phone: 248-967-0363
- Fax: 248-967-0364
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WH0200X |
| Taxonomy | Home Health Registered Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CHRISTOPHER
IKECHI
NNAJI
Title or Position: DIRECTOR
Credential:
Phone: 248-967-0363