=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801064316
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARE HOME HEALTH AGENCY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/19/2008
-----------------------------------------------------
Last Update Date | 01/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2035 HOGBACK RD STE 104
-----------------------------------------------------
City | ANN ARBOR
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48105-9487
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 848-203-5142
-----------------------------------------------------
Fax | 734-418-1011
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2035 HOGBACK RD STE 104
-----------------------------------------------------
City | ANN ARBOR
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48105-9487
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 848-203-5142
-----------------------------------------------------
Fax | 734-418-1011
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CHINTAN PATEL
-----------------------------------------------------
Credential | OFFICER
-----------------------------------------------------
Telephone | 848-203-5142
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------