MEDICARE: CENTRAL HOME HEALTH CARE SERVICES, 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

General Provider Information

NPI Number	:	1992058796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL HOME HEALTH CARE SERVICES, INC

Provider Business Mailing Address
First Line	:	20245 W 12 MILE RD
Second Line	:	STE 100
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-5409
Country	:	US
Telephone Number	:	248-569-5410
Fax Number	:

Provider Business Practice Location Address
First Line	:	20245 W 12 MILE RD
Second Line	:	STE 100
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-5409
Country	:	US
Telephone Number	:	248-569-5410
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SHEEL WALVEKAR
Credential	:
Telephone Number	:	248-569-5410

Provider Enumeration Date	:	10/18/2012
Last Update Date	:	10/18/2012

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