Healthcare Provider Details

I. General information

NPI: 1841101714
Provider Name (Legal Business Name): CHUNTAJAYONA NOLAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20000 ELKHART ST
HARPER WOODS MI
48225-2234
US

IV. Provider business mailing address

20000 ELKHART ST
HARPER WOODS MI
48225-2234
US

V. Phone/Fax

Practice location:
  • Phone: 313-728-5931
  • Fax:
Mailing address:
  • Phone: 313-728-5931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: