MEDICARE: SAFE HARBOR RESPITE CARE 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	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1669305389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE HARBOR RESPITE CARE LLC

Provider Business Mailing Address
First Line	:	24883 MAYFAIR ST
Second Line	:
City	:	FLAT ROCK
State	:	MI
Zip	:	48134-2706
Country	:	US
Telephone Number	:	734-363-8035
Fax Number	:

Provider Business Practice Location Address
First Line	:	24883 MAYFAIR ST
Second Line	:
City	:	FLAT ROCK
State	:	MI
Zip	:	48134-2706
Country	:	US
Telephone Number	:	734-363-8035
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MISS BRITNEY N PICKETT
Credential	:
Telephone Number	:	734-363-8035

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “SAFE HARBOR RESPITE CARE LLC ” Practice Location

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