MEDICARE: PATIENT CHOICE HOME HEALTHCARE, 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		MI

General Provider Information

NPI Number	:	1629157870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATIENT CHOICE HOME HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	5016 SILVERWOOD CT
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3372
Country	:	US
Telephone Number	:	248-661-7811
Fax Number	:	248-661-7812

Provider Business Practice Location Address
First Line	:	5016 SILVERWOOD CT
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3372
Country	:	US
Telephone Number	:	248-661-7811
Fax Number	:	248-661-7811

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MUHAMMAD KHURSHID SHAHAB
Credential	:	OWNER
Telephone Number	:	248-968-5554

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	08/22/2020

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