Provider Demographics
NPI:1548020050
Name:SULTAN HOME CARE LLC
Entity type:Organization
Organization Name:SULTAN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RADUAN
Authorized Official - Middle Name:SULTAN
Authorized Official - Last Name:RAJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-565-4766
Mailing Address - Street 1:29658 VAN LAAN DR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-4251
Mailing Address - Country:US
Mailing Address - Phone:586-565-4766
Mailing Address - Fax:
Practice Address - Street 1:29658 VAN LAAN DR
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092-4251
Practice Address - Country:US
Practice Address - Phone:586-565-4766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health