MEDICARE: SARA CARE MICHIGAN LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1568321990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARA CARE MICHIGAN LLC

Provider Business Mailing Address
First Line	:	PO BOX 446
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-0446
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	07120 68TH ST
Second Line	:
City	:	SOUTH HAVEN
State	:	MI
Zip	:	49090-8126
Country	:	US
Telephone Number	:	732-927-7080
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YOSSI TRESS
Credential	:
Telephone Number	:	732-927-7080

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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