MEDICARE: NEW IMAGE 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
2	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1598825325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW IMAGE HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	1902 STAR BATT DR
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-3711
Country	:	US
Telephone Number	:	248-844-9650
Fax Number	:	248-844-9650

Provider Business Practice Location Address
First Line	:	1902 STAR BATT DR
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-3711
Country	:	US
Telephone Number	:	248-844-9650
Fax Number	:	248-844-9650

Authorized Official
Title or Position	:	PRESIDENT, CEO
Name	:	VINCENT SALVIA
Credential	:	BS, MBA
Telephone Number	:	248-844-9650

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	05/14/2019

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