=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144887811
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SAMEEN HOME HEALTH CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/28/2019
-----------------------------------------------------
Last Update Date | 05/28/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 24994 GODDARD RD
-----------------------------------------------------
City | TAYLOR
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48180-3931
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-739-8335
-----------------------------------------------------
Fax | 866-882-7881
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 24994 GODDARD RD
-----------------------------------------------------
City | TAYLOR
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48180-3931
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-739-8335
-----------------------------------------------------
Fax | 866-882-7881
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | AASMA ANWAR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 313-739-8335
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------