Healthcare Provider Details

I. General information

NPI: 1679451389
Provider Name (Legal Business Name): PURPOSE OF LIFE HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41000 WOODWARD AVE
BLOOMFIELD MI
48304-5130
US

IV. Provider business mailing address

41000 WOODWARD AVE
BLOOMFIELD MI
48304-5130
US

V. Phone/Fax

Practice location:
  • Phone: 844-888-0497
  • Fax:
Mailing address:
  • Phone: 844-888-0497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEONDRALIQUE GREENE
Title or Position: ADMINISTRATOR
Credential: CNA,CPT,NRCMA
Phone: 844-888-0497