Healthcare Provider Details
I. General information
NPI: 1720909716
Provider Name (Legal Business Name): W.I.N CARE HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16216 PARKSIDE ST
DETROIT MI
48221-3326
US
IV. Provider business mailing address
16216 PARKSIDE ST
DETROIT MI
48221-3326
US
V. Phone/Fax
- Phone: 248-993-9038
- Fax:
- Phone: 248-993-9038
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 164W00000X |
| Taxonomy | Licensed Practical Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DARSHAE
NICOLE
COLEMAN-WILLIAMS
Title or Position: CEO/LPN
Credential: LPN
Phone: 248-993-9038