Healthcare Provider Details

I. General information

NPI: 1548609902
Provider Name (Legal Business Name): SENIOR CARE ALTERNATIVES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2013
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 BROOKLINE LN
DEARBORN MI
48120-1037
US

IV. Provider business mailing address

25 BROOKLINE LN
DEARBORN MI
48120-1037
US

V. Phone/Fax

Practice location:
  • Phone: 734-315-0606
  • Fax:
Mailing address:
  • Phone: 734-834-2642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801090737
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number6801090737
License Number StateMI

VIII. Authorized Official

Name: KWESI ORLANDO MCGILL
Title or Position: PRESIDENT
Credential:
Phone: 734-834-2642