Healthcare Provider Details

I. General information

NPI: 1437511235
Provider Name (Legal Business Name): EXCEPTIONAL HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 E EISENHOWER PKWY SUITE 9B
ANN ARBOR MI
48108-3350
US

IV. Provider business mailing address

315 E EISENHOWER PKWY SUITE 9B
ANN ARBOR MI
48108-3350
US

V. Phone/Fax

Practice location:
  • Phone: 734-622-8190
  • Fax: 734-864-7390
Mailing address:
  • Phone: 734-622-8190
  • Fax: 734-864-7390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateMI

VIII. Authorized Official

Name: BREANNE K STUART
Title or Position: OWNER/DIRECTOR OF OPERATIONS
Credential:
Phone: 734-622-8190