Organization
CENTRAL HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIJAY WALVEKAR (CONTROLLER)
(248) 569-5410
Entity
Organization
Contact information
Practice address
20245 W 12 MILE RD, STE 100, SOUTHFIELD, MI 48076-9920
(248) 569-5410
Mailing address
20245 W 12 MILE RD, STE 100, SOUTHFIELD, MI 48076-9920
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1677587
—
MI
01
—
OE-852
BCBS
MI
Enumeration date
07/01/2005
Last updated
08/22/2020
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