Healthcare Provider Details

I. General information

NPI: 1568308427
Provider Name (Legal Business Name): DEERWOOD HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 W CONGRESS ST FL 2
DETROIT MI
48226-3289
US

IV. Provider business mailing address

2433 KNAPP ST STE 305
BROOKLYN NY
11235-1005
US

V. Phone/Fax

Practice location:
  • Phone: 347-986-7798
  • Fax:
Mailing address:
  • Phone: 347-986-7798
  • Fax:

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: NATE TREITEL
Title or Position: COO
Credential:
Phone: 347-986-7798