Healthcare Provider Details

I. General information

NPI: 1881496008
Provider Name (Legal Business Name): HEALTH HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11069 SHADOW CREEK CT
STERLING HEIGHTS MI
48313-3246
US

IV. Provider business mailing address

11069 SHADOW CREEK CT
STERLING HEIGHTS MI
48313-3246
US

V. Phone/Fax

Practice location:
  • Phone: 586-662-6973
  • Fax:
Mailing address:
  • Phone: 586-662-6973
  • 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: YOUSIF ALKASSYONAN
Title or Position: OWNER
Credential:
Phone: 586-662-6973