Healthcare Provider Details

I. General information

NPI: 1144159559
Provider Name (Legal Business Name): AVOCARE HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 PARKLANE BLVD STE 525
DEARBORN MI
48126-4210
US

IV. Provider business mailing address

6 PARKLANE BLVD STE 525
DEARBORN MI
48126-4210
US

V. Phone/Fax

Practice location:
  • Phone: 810-275-1885
  • Fax: 810-391-2263
Mailing address:
  • Phone: 810-275-1885
  • Fax: 810-391-2263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN HILLARY
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 810-275-1885