Healthcare Provider Details

I. General information

NPI: 1669220729
Provider Name (Legal Business Name): ELDER EMPOWERMENT SERVICES UNLIMITED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38603 8 MILE ROAD
LIVONIA MI
48152
US

IV. Provider business mailing address

38603 8 MILE ROAD
LIVONIA MI
48152
US

V. Phone/Fax

Practice location:
  • Phone: 734-414-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBORAH MARIE WALDO
Title or Position: RN/ADMINISTRATOR
Credential:
Phone: 734-837-9888