MEDICARE: ANN ARBOR HOME HEALTH, INCORPORATED

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	:	1558506600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANN ARBOR HOME HEALTH, INCORPORATED

Provider Business Mailing Address
First Line	:	4231 CENTER VALLEY DR
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48108-4311
Country	:	US
Telephone Number	:	734-975-0181
Fax Number	:	734-975-8773

Provider Business Practice Location Address
First Line	:	4231 CENTER VALLEY DR
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48108-4311
Country	:	US
Telephone Number	:	734-975-0181
Fax Number	:	734-975-8773

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. ESTELITO TINANA MARTINEZ
Credential	:
Telephone Number	:	630-292-8044

Provider Enumeration Date	:	12/03/2008
Last Update Date	:	03/27/2009

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