Healthcare Provider Details
I. General information
NPI: 1386558658
Provider Name (Legal Business Name): LEIGH QUALITY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3734 MCKINLEY ST
DETROIT MI
48208-2349
US
IV. Provider business mailing address
3734 MCKINLEY ST
DETROIT MI
48208-2349
US
V. Phone/Fax
- Phone: 313-525-8257
- Fax: 313-447-2274
- Phone: 313-525-8257
- Fax: 313-447-2274
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320800000X |
| Taxonomy | Mental Illness Community Based Residential Treatment Facility |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
LEIGH
JAMES
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 313-525-8257