Healthcare Provider Details

I. General information

NPI: 1801664248
Provider Name (Legal Business Name): DNA CHORE SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2023
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41000 WOODWARD AVE STE 350
BLOOMFIELD HILLS MI
48304-5092
US

IV. Provider business mailing address

41000 WOODWARD AVE STE 350
BLOOMFIELD HILLS MI
48304-5092
US

V. Phone/Fax

Practice location:
  • Phone: 248-642-6445
  • Fax: 800-848-8908
Mailing address:
  • Phone: 248-642-6445
  • Fax: 800-848-8908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DIAMOND DOUGLASS
Title or Position: OWNER
Credential:
Phone: 313-477-7047