MEDICARE: GRANNY'S HELPERS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	302R00000X	Health Maintenance Organization
3	251J00000X	Nursing Care Agency
4	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	118128767	OTHER	MI	DUN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	ED1SRNSUN271	OTHER	FM	ED1

General Provider Information

NPI Number	:	1760056279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRANNY'S HELPERS

Provider Business Mailing Address
First Line	:	16129 W MCNICHOLS RD
Second Line	:	16129 W MCNICHOLS RD
City	:	DETROIT
State	:	MI
Zip	:	48235
Country	:	US
Telephone Number	:	313-370-7849
Fax Number	:	231-216-7861

Provider Business Practice Location Address
First Line	:	16129 W MCNICHOLS RD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48235-1704
Country	:	US
Telephone Number	:	313-370-7849
Fax Number	:	231-216-7861

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LAKESHA S GREEN
Credential	:	CAREGIVER
Telephone Number	:	313-370-7849

Provider Enumeration Date	:	05/19/2021
Last Update Date	:	03/12/2026

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Directions to “GRANNY'S HELPERS ” Practice Location

Language	Start Address	Practice Location

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