MEDICARE: CARE CENTRAL L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1013806736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE CENTRAL L.L.C.

Provider Business Mailing Address
First Line	:	PO BOX 40185
Second Line	:
City	:	REDFORD
State	:	MI
Zip	:	48240-0185
Country	:	US
Telephone Number	:	313-597-5560
Fax Number	:

Provider Business Practice Location Address
First Line	:	19120 GRAND RIVER AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48223-1705
Country	:	US
Telephone Number	:	313-597-5560
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. VIVIAN WHITE
Credential	:
Telephone Number	:	313-597-5560

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	01/22/2026

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