Healthcare Provider Details

I. General information

NPI: 1942131016
Provider Name (Legal Business Name): UNBOUND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13361 MAIDEN ST
DETROIT MI
48213-2022
US

IV. Provider business mailing address

10827 SOMERSET AVE
DETROIT MI
48224-1772
US

V. Phone/Fax

Practice location:
  • Phone: 313-623-9646
  • Fax: 313-623-9646
Mailing address:
  • Phone: 313-623-9646
  • 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: ELTON ANTOINE MCLAUGHLIN
Title or Position: OWNER
Credential:
Phone: 313-623-9646