Healthcare Provider Details

I. General information

NPI: 1497598387
Provider Name (Legal Business Name): BETTER HOME CARE PROVIDER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27216 FORD RD
DEARBORN HEIGHTS MI
48127-2859
US

IV. Provider business mailing address

27216 FORD RD
DEARBORN HEIGHTS MI
48127-2859
US

V. Phone/Fax

Practice location:
  • Phone: 313-948-9696
  • Fax:
Mailing address:
  • Phone: 313-948-9696
  • 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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: TINA MARTHA FAISSAL
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 313-948-9696