Healthcare Provider Details

I. General information

NPI: 1811814247
Provider Name (Legal Business Name): OCEANFRONT CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 CHERRY VALLEY DR APT L9
INKSTER MI
48141-1426
US

IV. Provider business mailing address

255 CHERRY VALLEY DR APT L9
INKSTER MI
48141-1426
US

V. Phone/Fax

Practice location:
  • Phone: 320-779-8723
  • Fax: 320-779-8723
Mailing address:
  • Phone: 320-779-8723
  • Fax: 320-779-8723

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: LIBAN AHMED
Title or Position: CEO
Credential:
Phone: 320-779-8723