Healthcare Provider Details

I. General information

NPI: 1093679003
Provider Name (Legal Business Name): NOEL GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3334 RENAULT DR
FLINT MI
48507-3364
US

IV. Provider business mailing address

3334 RENAULT DR
FLINT MI
48507-3364
US

V. Phone/Fax

Practice location:
  • Phone: 810-336-9968
  • Fax:
Mailing address:
  • Phone: 810-336-9968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: