Healthcare Provider Details

I. General information

NPI: 1386471571
Provider Name (Legal Business Name): CARING CONNECTION HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 09/19/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30800 NORTHWESTERN HIGHWAY SUITE 218
FARMINGTON HILLS MI
48334
US

IV. Provider business mailing address

33228 W 12 MILE RD STE 104
FARMINGTON HILLS MI
48334-3309
US

V. Phone/Fax

Practice location:
  • Phone: 313-505-6525
  • Fax:
Mailing address:
  • Phone: 313-505-6525
  • 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: NICOLE S WILLIAMS
Title or Position: CEO
Credential:
Phone: 313-505-6525