Healthcare Provider Details

I. General information

NPI: 1568305837
Provider Name (Legal Business Name): COZY CORNER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15510 MONTE VISTA ST
DETROIT MI
48238-1008
US

IV. Provider business mailing address

23191 COVENTRY WOODS LN
SOUTHFIELD MI
48034-5165
US

V. Phone/Fax

Practice location:
  • Phone: 313-850-5814
  • Fax:
Mailing address:
  • Phone: 313-850-5814
  • Fax: 313-850-5814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MELISSA CAROLE SCOTT
Title or Position: OWNER
Credential: SCOTT
Phone: 313-850-5814