Healthcare Provider Details

I. General information

NPI: 1114678984
Provider Name (Legal Business Name): HOMES OF QUALITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2022
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18085 FLEMING ST
DETROIT MI
48234-1305
US

IV. Provider business mailing address

18085 FLEMING ST
DETROIT MI
48234-1305
US

V. Phone/Fax

Practice location:
  • Phone: 313-353-7455
  • Fax:
Mailing address:
  • Phone: 313-353-7455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MONIQUE SHANTRELL TAYLOR
Title or Position: OWNER
Credential:
Phone: 313-353-7455