=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821522459
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOME CARE CENTRAL INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/20/2017
-----------------------------------------------------
Last Update Date | 04/25/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4789 JANES ROAD
-----------------------------------------------------
City | SAGINAW
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 989-321-2233
-----------------------------------------------------
Fax | 866-364-7300
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25200 5 MILE RD
-----------------------------------------------------
City | REDFORD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48239-3702
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-361-4259
-----------------------------------------------------
Fax | 866-364-7300
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. MAHMUD BAIG
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 248-361-4259
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------