Healthcare Provider Details
I. General information
NPI: 1235048273
Provider Name (Legal Business Name): SILVER OAK HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6050 WHITEFIELD ST
DEARBORN HEIGHTS MI
48127-4813
US
IV. Provider business mailing address
6050 WHITEFIELD ST
DEARBORN HEIGHTS MI
48127-4813
US
V. Phone/Fax
- Phone: 313-729-6600
- Fax:
- Phone: 313-729-6600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
REDA
FRADI
Title or Position: OWNER
Credential:
Phone: 313-729-6600