Healthcare Provider Details

I. General information

NPI: 1013806736
Provider Name (Legal Business Name): CARE CENTRAL L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19120 GRAND RIVER AVE
DETROIT MI
48223-1705
US

IV. Provider business mailing address

PO BOX 40185
REDFORD MI
48240-0185
US

V. Phone/Fax

Practice location:
  • Phone: 313-597-5560
  • Fax:
Mailing address:
  • Phone: 313-597-5560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MS. VIVIAN WHITE
Title or Position: PRESIDENT
Credential:
Phone: 313-597-5560