Healthcare Provider Details

I. General information

NPI: 1043123847
Provider Name (Legal Business Name): HOME SWEET HOME CARE BY CANDII
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19958 CONLEY ST
DETROIT MI
48234-2254
US

IV. Provider business mailing address

18837 HESSEL AVE
DETROIT MI
48219-1532
US

V. Phone/Fax

Practice location:
  • Phone: 313-978-3134
  • Fax:
Mailing address:
  • Phone: 313-978-3134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CANDIS CANE
Title or Position: OWNER /OPERATOR
Credential: LPN
Phone: 314-978-3134