Healthcare Provider Details

I. General information

NPI: 1649135203
Provider Name (Legal Business Name): SABRINA WATTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 EDEN PARK DR
DEARBORN HEIGHTS MI
48127-1997
US

IV. Provider business mailing address

9 EDEN PARK DR
DEARBORN HEIGHTS MI
48127-1997
US

V. Phone/Fax

Practice location:
  • Phone: 313-662-4335
  • Fax:
Mailing address:
  • Phone: 313-662-4335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SABRINA WATTS
Title or Position: OWNER
Credential:
Phone: 313-662-4335