Healthcare Provider Details

I. General information

NPI: 1669301099
Provider Name (Legal Business Name): CLEARPATH HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12000 OXFORD ST
CARLETON MI
48117-9108
US

IV. Provider business mailing address

12000 OXFORD ST
CARLETON MI
48117-9108
US

V. Phone/Fax

Practice location:
  • Phone: 734-363-8071
  • Fax:
Mailing address:
  • Phone: 734-344-8035
  • Fax:

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: DESTINEE CABALLERO
Title or Position: OWNER, CARE COORDINATOR
Credential: CNA
Phone: 734-344-8035