MEDICARE: CARING HANDS 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	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1649482316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HANDS LLC

Provider Business Mailing Address
First Line	:	21901 HARPER AVE
Second Line	:
City	:	SAINT CLAIR SHORES
State	:	MI
Zip	:	48080-2217
Country	:	US
Telephone Number	:	586-779-7450
Fax Number	:	586-779-7451

Provider Business Practice Location Address
First Line	:	21901 HARPER AVE
Second Line	:
City	:	SAINT CLAIR SHORES
State	:	MI
Zip	:	48080-2217
Country	:	US
Telephone Number	:	586-779-7450
Fax Number	:	586-779-7451

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MFON OWOROETOP
Credential	:	LPN
Telephone Number	:	586-779-7450

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	08/22/2020

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Directions to “CARING HANDS LLC ” Practice Location

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