Healthcare Provider Details

I. General information

NPI: 1609798719
Provider Name (Legal Business Name): IMPERATIVE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10427 BEECHDALE ST
DETROIT MI
48204-2585
US

IV. Provider business mailing address

15700 W. 10 MILE RD SUITE 212 PMB 1050
SOUTHFIELD MI
48075
US

V. Phone/Fax

Practice location:
  • Phone: 248-790-7527
  • Fax:
Mailing address:
  • Phone: 248-790-7527
  • 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: TIFFANY WILLIAMS
Title or Position: OWNER
Credential:
Phone: 248-820-4750