Healthcare Provider Details

I. General information

NPI: 1043134034
Provider Name (Legal Business Name): PALM PARADISE HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19236 CAMERON ST
DETROIT MI
48203-4716
US

IV. Provider business mailing address

387 MONTEREY ST
HIGHLAND PARK MI
48203-3423
US

V. Phone/Fax

Practice location:
  • Phone: 313-301-1771
  • Fax:
Mailing address:
  • Phone: 313-301-1771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MS. JANICE MCLAREN
Title or Position: REGISTER NURSE
Credential:
Phone: 313-301-1771