MEDICARE: HOLISTIC HOME HEALTH CARE, 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	:	1467762468
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLISTIC HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	5820 N CANTON CENTER RD
Second Line	:	SUITE 180
City	:	CANTON
State	:	MI
Zip	:	48187-2651
Country	:	US
Telephone Number	:	248-376-6599
Fax Number	:	734-354-9999

Provider Business Practice Location Address
First Line	:	5820 N CANTON CENTER RD
Second Line	:	SUITE 180
City	:	CANTON
State	:	MI
Zip	:	48187-2651
Country	:	US
Telephone Number	:	248-376-6599
Fax Number	:	734-354-9999

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NABEEL SHAIKH
Credential	:
Telephone Number	:	248-376-6599

Provider Enumeration Date	:	10/09/2010
Last Update Date	:	10/09/2010

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