Healthcare Provider Details

I. General information

NPI: 1902036486
Provider Name (Legal Business Name): NEW VISION HOMECARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2009
Last Update Date: 02/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26065 W. SIX MILE ROAD
REDFORD MI
48240-2216
US

IV. Provider business mailing address

26065 W. SIX MILE ROAD
REDFORD MI
48240-2216
US

V. Phone/Fax

Practice location:
  • Phone: 313-533-7350
  • Fax: 313-533-7351
Mailing address:
  • Phone: 313-533-7350
  • Fax: 313-533-7351

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: MUHAMMAD AHMAD
Title or Position: ADMINISTRATOR
Credential:
Phone: 313-533-7350