Provider Demographics
NPI:1174538839
Name:SENIOR CITIZENS HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:SENIOR CITIZENS HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:313-543-3280
Mailing Address - Street 1:25334 5 MILE RD
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3704
Mailing Address - Country:US
Mailing Address - Phone:313-543-3280
Mailing Address - Fax:313-543-3283
Practice Address - Street 1:25334 5 MILE RD
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3704
Practice Address - Country:US
Practice Address - Phone:313-543-3280
Practice Address - Fax:313-543-3283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WH0200X
NA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty