Provider Demographics
NPI:1053739599
Name:AHAVA CARE
Entity type:Organization
Organization Name:AHAVA CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SOLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-259-8546
Mailing Address - Street 1:14840 BORGMAN ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-1061
Mailing Address - Country:US
Mailing Address - Phone:248-259-8546
Mailing Address - Fax:270-738-8282
Practice Address - Street 1:14840 BORGMAN ST
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-1061
Practice Address - Country:US
Practice Address - Phone:248-542-5197
Practice Address - Fax:270-738-8282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-02
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care