Healthcare Provider Details

I. General information

NPI: 1831027580
Provider Name (Legal Business Name): CAREVIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23100 PETERSBURG AVE
EASTPOINTE MI
48021-2023
US

IV. Provider business mailing address

23100 PETERSBURG AVE
EASTPOINTE MI
48021-2023
US

V. Phone/Fax

Practice location:
  • Phone: 313-338-8581
  • Fax:
Mailing address:
  • Phone: 313-338-8581
  • 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: JASMINE DAVIS
Title or Position: OWNER
Credential:
Phone: 616-816-0053