Healthcare Provider Details

I. General information

NPI: 1073781522
Provider Name (Legal Business Name): WORTHY HOME CARE, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2008
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16700 DOLPHIN ST
DETROIT MI
48219-3855
US

IV. Provider business mailing address

PO BOX 39873
REDFORD MI
48239-0873
US

V. Phone/Fax

Practice location:
  • Phone: 313-721-7076
  • Fax:
Mailing address:
  • Phone: 313-721-7076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberA536785031017
License Number StateMI

VIII. Authorized Official

Name: MS. TAMIKO ADELE ANDERSON
Title or Position: OWNER/MANAGER
Credential:
Phone: 313-721-7076