Healthcare Provider Details

I. General information

NPI: 1720486251
Provider Name (Legal Business Name): RM PRIVATE DUTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2014
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32910 W 13 MILE RD SUITE A102B
FARMINGTON HILLS MI
48334-1980
US

IV. Provider business mailing address

32910 W 13 MILE RD SUITE A102B
FARMINGTON HILLS MI
48334-1980
US

V. Phone/Fax

Practice location:
  • Phone: 248-252-6310
  • Fax: 248-458-4171
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. RUTH POBERESKY
Title or Position: DIRECTOR OF CLIENT SERVICES
Credential:
Phone: 248-252-6310