Healthcare Provider Details
I. General information
NPI: 1184307308
Provider Name (Legal Business Name): U & I HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2023
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20245 CHURCHILL AVE
BROWNSTOWN TWP MI
48183-5008
US
IV. Provider business mailing address
20245 CHURCHILL AVE
BROWNSTOWN TWP MI
48183-5008
US
V. Phone/Fax
- Phone: 888-279-9678
- Fax: 734-212-6634
- Phone: 888-279-9678
- Fax: 734-212-6634
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ABIGAIL
A
ENAIBRE
Title or Position: ADMINISTRATOR/LICENSEE
Credential:
Phone: 313-258-7910