MEDICARE: ASM HOME CARE NETWORK, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1003236456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASM HOME CARE NETWORK, INC

Provider Business Mailing Address
First Line	:	PO BOX 2023
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48037-2023
Country	:	US
Telephone Number	:	248-808-9757
Fax Number	:

Provider Business Practice Location Address
First Line	:	24225 W 9 MILE RD
Second Line	:	STE 115
City	:	SOUTHFIELD
State	:	MI
Zip	:	48033-3962
Country	:	US
Telephone Number	:	248-808-9757
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MISS ADRIANNE PEELE
Credential	:
Telephone Number	:	248-808-9757

Provider Enumeration Date	:	04/24/2014
Last Update Date	:	04/24/2014

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