Provider Demographics
NPI:1760344170
Name:SAFWAT HOMECARE LLC
Entity type:Organization
Organization Name:SAFWAT HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:SHAMMI
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHOWDHURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-737-2316
Mailing Address - Street 1:12120 CONANT ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48212-2719
Mailing Address - Country:US
Mailing Address - Phone:313-737-2316
Mailing Address - Fax:
Practice Address - Street 1:2171 TROWBRIDGE ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-4405
Practice Address - Country:US
Practice Address - Phone:313-737-2316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-25
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care