Healthcare Provider Details

I. General information

NPI: 1336073204
Provider Name (Legal Business Name): SUMMIT HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15844 WOODLAND DR
DEARBORN MI
48120-1114
US

IV. Provider business mailing address

15844 WOODLAND DR
DEARBORN MI
48120-1114
US

V. Phone/Fax

Practice location:
  • Phone: 313-939-0080
  • Fax:
Mailing address:
  • Phone: 313-939-0080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: WROUD ALAMIRI
Title or Position: OWNER
Credential:
Phone: 313-939-0080