MEDICARE: VIBRANT GENERATIONS

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1871451070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIBRANT GENERATIONS

Provider Business Mailing Address
First Line	:	14452 PARK GROVE ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-3035
Country	:	US
Telephone Number	:	586-404-2515
Fax Number	:

Provider Business Practice Location Address
First Line	:	14452 PARK GROVE ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-3035
Country	:	US
Telephone Number	:	586-404-2515
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ZINA JONES
Credential	:
Telephone Number	:	586-404-2515

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “VIBRANT GENERATIONS ” Practice Location

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