MEDICARE: HOME CARE WELLNESS 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1912203563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE WELLNESS LLC

Provider Business Mailing Address
First Line	:	25050 OUTER DR
Second Line	:	SUITE 204
City	:	LINCOLN PARK
State	:	MI
Zip	:	48146-1297
Country	:	US
Telephone Number	:	313-586-4111
Fax Number	:	313-556-2225

Provider Business Practice Location Address
First Line	:	25050 OUTER DR
Second Line	:	SUITE 204
City	:	LINCOLN PARK
State	:	MI
Zip	:	48146-1297
Country	:	US
Telephone Number	:	313-586-4111
Fax Number	:	313-556-2225

Authorized Official
Title or Position	:	ADMINISTRATOR/CEO
Name	:	MR. WAQAS RASHID
Credential	:
Telephone Number	:	313-586-4111

Provider Enumeration Date	:	01/31/2011
Last Update Date	:	06/15/2016

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