MEDICARE: TRI COUNTY HOME HEALTH SERVICES

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	476-63D	OTHER	MI	STATE REGISTRATION NUMBER

General Provider Information

NPI Number	:	1144277260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI COUNTY HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	28830 W 8 MILE RD
Second Line	:	SUITE 210
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48336-5905
Country	:	US
Telephone Number	:	248-478-9600
Fax Number	:	248-478-9605

Provider Business Practice Location Address
First Line	:	28830 W 8 MILE RD
Second Line	:	SUITE 210
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48336-5905
Country	:	US
Telephone Number	:	248-478-9600
Fax Number	:	248-478-9605

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	NADIA SARWAR HAQUE
Credential	:	PHARMD
Telephone Number	:	248-478-9600

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	08/22/2020

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Directions to “TRI COUNTY HOME HEALTH SERVICES ” Practice Location

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