Provider Demographics
NPI:1760681696
Name:INDIVIDUALIZED HOME HEALTH CARE, INC
Entity type:Organization
Organization Name:INDIVIDUALIZED HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BASHIER
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-989-5209
Mailing Address - Street 1:31800 NORTHWESTERN HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1663
Mailing Address - Country:US
Mailing Address - Phone:248-757-2806
Mailing Address - Fax:248-757-2825
Practice Address - Street 1:31800 NORTHWESTERN HWY STE 100
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1663
Practice Address - Country:US
Practice Address - Phone:248-757-2806
Practice Address - Fax:248-757-2825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239088Medicare Oscar/Certification
MI239088Medicare UPIN