PROVIDERS HOME CARE, LLC (NPI# 1790972123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790972123 |
| Entity Type | Organization |
| Organization Name | PROVIDERS HOME CARE, LLC |
| Practice Address |
2040 Monroe St Suite 209a Dearborn MI 48124-2950 |
| Practice Telephone | 3138465578 |
| Practice Fax Number | 3138465799 |
| Mailing Telephone | 3138465578 |
| Mailing Fax Number | 3138465799 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | JAAFAR SHUKR (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 3138465578 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | MI | Agencies |
| Street Address |
2040 MONROE ST SUITE 209A |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134199979 | Nazirko LLC | Durable Medical Equipment & Medical Supplies | 2040 Monroe St, Suite 201, Dearborn, MI 48124-2950 | 2006-01-24 |
| 1396288825 | Hartland Geriatric PC | Internal Medicine | 2040 Monroe St, Ste 207, Dearborn, MI 48124-2950 | 2016-12-01 |
| 1649725540 | F. Ali M.d. Pllc | Internal Medicine | 2040 Monroe St, Ste 207, Dearborn, MI 48124-2950 | 2016-08-20 |
| 1194135186 | Thamer Medical Pllc | Internal Medicine | 2040 Monroe St, Suite 206, Dearborn, MI 48124-2950 | 2014-04-30 |
| 1467746370 | Maha Elnazir | Pharmacist | 2040 Monroe St, Suite 201, Dearborn, MI 48124-2950 | 2011-06-08 |
| 1104118116 | Nephron Clinic PC | Internal Medicine | 2040 Monroe St, Ste 209, Dearborn, MI 48124-2950 | 2011-05-09 |
| 1972795185 | Nephron Plc | Internal Medicine | 2040 Monroe St, Suite 209, Dearborn, MI 48124-2950 | 2007-08-11 |
| 1053354787 | Aaron Scott Goldfein | Anesthesiology | 2040 Monroe St, Suite #209, Dearborn, MI 48124-2921 | 2006-06-13 |
| 1043258957 | Mansoor Iqbal Bhatti | Physician Assistant | 2040 Monroe St, Suite #209, Dearborn, MI 48124-2921 | 2006-06-03 |
| 1235176637 | Ramon Adolfo Madrid | General Practice | 2040 Monroe St, Suite #209, Dearborn, MI 48124-2921 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613793 | Fatmeh Mackie | Home Health | 10037 Burley St Apt B3, Dearborn, MI 48120-1671 | 2020-09-09 |
| 1427681246 | Better You Home Health LLC | Home Health | 5237 Oakman Blvd Ste B200, Dearborn, MI 48126-4045 | 2020-02-20 |
| 1578195889 | Maverick One Inc | Home Health | 900 Lincoln Ln Apt 802, Dearborn, MI 48126-2987 | 2020-02-05 |
| 1629629969 | University Home Care Inc | Home Health | 835 Mason St Ste D140, Dearborn, MI 48124-2256 | 2019-09-27 |
| 1295391035 | Redwan Alharash | Home Health | 3 Parklane Blvd Ste 110, Dearborn, MI 48126-2506 | 2019-05-17 |
| 1023586237 | Holistic Healing Home Health LLC | Home Health | 23043 Columbia St, Dearborn, MI 48124-3435 | 2018-11-06 |
| 1093217754 | Cj Unlimited Kare LLC | Home Health | 23636 Michigan Ave #407, Dearborn, MI 48124 | 2018-03-08 |
| 1497294466 | Fatmeh Mazloum | Home Health | 3714 Westpoint St, Dearborn, MI 48124-3251 | 2017-02-23 |
| 1801334669 | Stuart Zander | Home Health | 2465 Academy, Dearborn, MI 48124 | 2017-02-01 |
| 1154867067 | Warriors On Wheels of Metropolitan Detroit | Home Health | 15574 Knollwood Dr, Dearborn, MI 48120-1306 | 2017-01-16 |
| Find all providers in DEARBORN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.