Healthcare Provider Details

I. General information

NPI: 1497692412
Provider Name (Legal Business Name): CALVIN CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15334 HEYDEN ST
DETROIT MI
48223-1745
US

IV. Provider business mailing address

15334 HEYDEN ST
DETROIT MI
48223-1745
US

V. Phone/Fax

Practice location:
  • Phone: 313-288-8426
  • Fax:
Mailing address:
  • Phone: 313-889-9774
  • 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 Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: MR. DENZEL LORENZO JOHNSON
Title or Position: OWNER
Credential:
Phone: 313-778-3098