Healthcare Provider Details

I. General information

NPI: 1740505130
Provider Name (Legal Business Name): THERAMED HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2010
Last Update Date: 04/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1806 EUREKA RD
WYANDOTTE MI
48192-6003
US

IV. Provider business mailing address

1806 EUREKA RD
WYANDOTTE MI
48192-6003
US

V. Phone/Fax

Practice location:
  • Phone: 734-785-1486
  • Fax: 734-785-9519
Mailing address:
  • Phone: 734-785-1486
  • Fax: 734-785-9519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MUHAMMAD HAFEEZ
Title or Position: CEO/PRESIDENT
Credential:
Phone: 734-785-1486