Provider Demographics
NPI: | 1659560316 |
---|---|
Name: | NEXUS HOME HEALTH CARE INC. |
Entity type: | Organization |
Organization Name: | NEXUS HOME HEALTH CARE INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATOR |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | CLIFFORD |
Authorized Official - Middle Name: | MICHAEL |
Authorized Official - Last Name: | SITTO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 248-478-9460 |
Mailing Address - Street 1: | 1050 WILSHIRE DR |
Mailing Address - Street 2: | SUITE 140 |
Mailing Address - City: | TROY |
Mailing Address - State: | MI |
Mailing Address - Zip Code: | 48084-1500 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 248-478-9460 |
Mailing Address - Fax: | 248-478-9469 |
Practice Address - Street 1: | 1050 WILSHIRE DR |
Practice Address - Street 2: | SUITE 140 |
Practice Address - City: | TROY |
Practice Address - State: | MI |
Practice Address - Zip Code: | 48084-1500 |
Practice Address - Country: | US |
Practice Address - Phone: | 248-478-9460 |
Practice Address - Fax: | 248-478-9469 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-10-18 |
Last Update Date: | 2016-12-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
MI | 239046 | Medicare Oscar/Certification |