MEDICARE: HARBOR HOSPICE 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1982592366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARBOR HOSPICE CARE LLC

Provider Business Mailing Address
First Line	:	3058 METROPOLITAN PKWY STE 103
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-3600
Country	:	US
Telephone Number	:	810-765-7144
Fax Number	:	810-765-9295

Provider Business Practice Location Address
First Line	:	3058 METROPOLITAN PKWY STE 103
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-3600
Country	:	US
Telephone Number	:	810-765-7144
Fax Number	:	810-765-9295

Authorized Official
Title or Position	:	OWNER
Name	:	SHEFALI THAKER
Credential	:	RN
Telephone Number	:	810-765-7144

Provider Enumeration Date	:	06/25/2025
Last Update Date	:	06/25/2025

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