Healthcare Provider Details

I. General information

NPI: 1740198456
Provider Name (Legal Business Name): MOBILE HOME CARE SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18459 PIERSON ST
DETROIT MI
48219-2516
US

IV. Provider business mailing address

18459 PIERSON ST
DETROIT MI
48219-2516
US

V. Phone/Fax

Practice location:
  • Phone: 313-695-0853
  • Fax:
Mailing address:
  • Phone: 313-695-0853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MALIKA MOSES
Title or Position: OWNER
Credential: LPN
Phone: 313-695-0853