Healthcare Provider Details

I. General information

NPI: 1518808989
Provider Name (Legal Business Name): PARKER PROFESSIONAL HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10826 E OUTER DR
DETROIT MI
48224-2954
US

IV. Provider business mailing address

10826 E OUTER DR
DETROIT MI
48224-2954
US

V. Phone/Fax

Practice location:
  • Phone: 734-308-8200
  • Fax: 734-308-8200
Mailing address:
  • Phone: 734-308-8200
  • Fax: 734-308-8200

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 Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA ELAINE PARKER
Title or Position: OWNER
Credential:
Phone: 734-308-8200