MEDICARE: AMERICAN FAMILY HOME HEALTH CARE, LLC.

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	:	1366719676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN FAMILY HOME HEALTH CARE, LLC.

Provider Business Mailing Address
First Line	:	PO BOX 431
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48311-0431
Country	:	US
Telephone Number	:	586-883-9627
Fax Number	:	586-883-9628

Provider Business Practice Location Address
First Line	:	2110 15 MILE RD
Second Line	:	SUITE F
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-4843
Country	:	US
Telephone Number	:	586-883-9627
Fax Number	:	586-883-9628

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MICHAEL G. ANTOUN
Credential	:
Telephone Number	:	586-883-9627

Provider Enumeration Date	:	11/30/2011
Last Update Date	:	11/30/2011

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