Healthcare Provider Details

I. General information

NPI: 1598815912
Provider Name (Legal Business Name): PROJECT COMPASSION HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 07/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33600 LUTHER LN
LIVONIA MI
48154-5477
US

IV. Provider business mailing address

4100 PIER NORTH BLVD
FLINT MI
48504
US

V. Phone/Fax

Practice location:
  • Phone: 734-421-6564
  • Fax: 734-524-9379
Mailing address:
  • Phone: 989-262-7389
  • Fax: 989-652-3929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number824028
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number824028
License Number StateMI

VIII. Authorized Official

Name: AMY E STORMS
Title or Position: SVP/CFO
Credential:
Phone: 989-262-7389