Healthcare Provider Details

I. General information

NPI: 1407775067
Provider Name (Legal Business Name): COMPLETE BEST CARE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18072 WOODINGHAM DR
DETROIT MI
48221-2561
US

IV. Provider business mailing address

18072 WOODINGHAM DR
DETROIT MI
48221-2561
US

V. Phone/Fax

Practice location:
  • Phone: 313-828-3020
  • Fax:
Mailing address:
  • Phone: 313-828-3020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. JASMINE R ANDREWS
Title or Position: OWNER
Credential:
Phone: 313-828-3020