MEDICARE: AMERICAN HOUSE FARMINGTON HILLS 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1538781349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HOUSE FARMINGTON HILLS LLC

Provider Business Mailing Address
First Line	:	24400 MIDDLEBELT RD
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48336-2135
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24400 MIDDLEBELT RD
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48336-2135
Country	:	US
Telephone Number	:	248-471-9141
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MOHAMED ALLIE
Credential	:
Telephone Number	:	248-471-9141

Provider Enumeration Date	:	05/14/2020
Last Update Date	:	08/22/2022

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