Healthcare Provider Details

I. General information

NPI: 1699617704
Provider Name (Legal Business Name): CALMNEST RESPITE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G3500 FLUSHING RD STE 242
FLINT MI
48504-4257
US

IV. Provider business mailing address

7393 E CARPENTER RD
DAVISON MI
48423-8959
US

V. Phone/Fax

Practice location:
  • Phone: 810-588-0174
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TYESHA PAYNE
Title or Position: OWNER
Credential:
Phone: 810-588-0174