Healthcare Provider Details

I. General information

NPI: 1902343338
Provider Name (Legal Business Name): HEALTH CARE MANAGEMENT USA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2017
Last Update Date: 12/27/2023
Certification Date: 12/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24123 GREENFIELD RD SUITE 212-A
SOUTHFIELD MI
48075-3125
US

IV. Provider business mailing address

24123 GREENFIELD RD STE 306A
SOUTHFIELD MI
48075-3124
US

V. Phone/Fax

Practice location:
  • Phone: 248-291-6037
  • Fax:
Mailing address:
  • Phone: 248-918-4212
  • Fax: 248-918-4337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6401010514
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TALIA SIMONE AZIR
Title or Position: ADMINISTRSATIVE DIRECTOR
Credential:
Phone: 248-275-3870