Healthcare Provider Details

I. General information

NPI: 1598670523
Provider Name (Legal Business Name): HEARTSTONE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5222 MARSEILLES ST
DETROIT MI
48224-1318
US

IV. Provider business mailing address

4005 EDGEWOOD ST
DEARBORN HEIGHTS MI
48125-3223
US

V. Phone/Fax

Practice location:
  • Phone: 313-457-4371
  • Fax:
Mailing address:
  • Phone: 313-457-4371
  • 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: ALEXANDRIA RUSSELL
Title or Position: OWNER
Credential:
Phone: 313-457-4371