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General NPI Number Information
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NPI Number | 1184788150
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Entity Type | Organization
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Legal Business Name | AAA HOME HEALTH CARE AGENCY
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 23035 GRATIOT AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-1627
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Country | US
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Telephone | 586-498-8435
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Fax | 586-498-8425
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Provider Business Mailing Address
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Address Line | 23035 GRATIOT AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-1627
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Country | US
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Telephone | 586-498-8435
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Fax | 586-498-8425
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Authorized Official
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Title or Position | OWNER
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Name | MS. REBECCA FOMUM-TIBAH
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Credential |
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Telephone | 586-498-8435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MI
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