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Organization
NSCN HOMECARE GROUP, LLC
Active
Organization
NSCN HOMECARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EHTESHAM EDDIN ANSARI (DIRECTOR OF ADMINISTRATION)
(586) 506-1996
Entity
Organization
Contact information
Practice address
48645 VAN DYKE AVE STE 201, SHELBY TOWNSHIP, MI 48317-2576
(248) 274-6225
Mailing address
48645 VAN DYKE AVE STE 201, SHELBY TOWNSHIP, MI 48317-2576
(248) 274-6225
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
177F00000X
Lodging Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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