Healthcare Provider Details

I. General information

NPI: 1922933373
Provider Name (Legal Business Name): PRODIGIOUS CARE UNLIMITED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19147 DRESDEN ST
DETROIT MI
48205-2126
US

IV. Provider business mailing address

17410 MACK AVE # 1030
GROSSE POINTE MI
48230-6228
US

V. Phone/Fax

Practice location:
  • Phone: 586-300-1810
  • Fax: 586-837-3282
Mailing address:
  • Phone: 586-300-1810
  • Fax: 586-837-3282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MS. BARBARA DENISE BROWN
Title or Position: OWNER
Credential: CNA
Phone: 586-300-1810