Healthcare Provider Details

I. General information

NPI: 1285425512
Provider Name (Legal Business Name): MANOR ENHANCED SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30301 W 13 MILE RD
FARMINGTON HILLS MI
48334-2209
US

IV. Provider business mailing address

30301 W 13 MILE RD
FARMINGTON HILLS MI
48334-2209
US

V. Phone/Fax

Practice location:
  • Phone: 248-626-6100
  • Fax: 248-539-1522
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH GOLESKI
Title or Position: CEO
Credential:
Phone: 248-626-6100