Healthcare Provider Details

I. General information

NPI: 1316636616
Provider Name (Legal Business Name): DCM HOMECARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2023
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15001 KERCHEVAL AVE STE 229
GROSSE POINTE PARK MI
48230-1361
US

IV. Provider business mailing address

19121 CHESHIRE ST
GROSSE POINTE MI
48236-2011
US

V. Phone/Fax

Practice location:
  • Phone: 313-908-8400
  • Fax:
Mailing address:
  • Phone: 313-878-1576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DESIRA TRAMMELL
Title or Position: OWNER
Credential:
Phone: 313-908-8400