Provider Demographics
NPI:1447482195
Name:CROWN HOME HEALTH CARE INC
Entity type:Organization
Organization Name:CROWN HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ZUBAIR
Authorized Official - Middle Name:K
Authorized Official - Last Name:WAZIR
Authorized Official - Suffix:
Authorized Official - Credentials:SBPT
Authorized Official - Phone:248-478-9800
Mailing Address - Street 1:25882 ORCHARD LAKE RD STE L-1
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-1269
Mailing Address - Country:US
Mailing Address - Phone:248-478-9800
Mailing Address - Fax:
Practice Address - Street 1:25882 ORCHARD LAKE RD STE L-1
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-1269
Practice Address - Country:US
Practice Address - Phone:248-478-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health