Organization
AAA HOME HEALTH CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA FOMUM-TIBAH (OWNER)
(586) 498-8435
Entity
Organization
Contact information
Practice address
23035 GRATIOT AVE, EASTPOINTE, MI 48021-1627
(586) 498-8435
(586) 498-8425
Mailing address
23035 GRATIOT AVE, EASTPOINTE, MI 48021-1627
(586) 498-8435
(586) 498-8425
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
332B00000X
Durable Medical Equipment & Medical Supplies
—
MI
343900000X
Non-emergency Medical Transport (VAN)
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35111
DME
MI
05
—
4738381
—
MI
Enumeration date
12/21/2006
Last updated
09/11/2025
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