Healthcare Provider Details

I. General information

NPI: 1336059559
Provider Name (Legal Business Name): HAYDEN'S HEALING HANDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19959 RIOPELLE ST
DETROIT MI
48203-1249
US

IV. Provider business mailing address

14984 RIVER VIEW CT
STERLING HEIGHTS MI
48313-5772
US

V. Phone/Fax

Practice location:
  • Phone: 586-980-0090
  • Fax:
Mailing address:
  • Phone: 586-980-0090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SHAFONTA HAYDEN
Title or Position: OWNER
Credential:
Phone: 586-980-0090