Healthcare Provider Details
I. General information
NPI: 1205776598
Provider Name (Legal Business Name): BPE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
55322 BRETON WOODS DR
MACOMB MI
48042-1648
US
IV. Provider business mailing address
55322 BRETON WOODS DR
MACOMB MI
48042-1648
US
V. Phone/Fax
- Phone: 704-277-3998
- Fax:
- Phone: 704-277-3998
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372500000X |
| Taxonomy | Chore Provider |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747A0650X |
| Taxonomy | Attendant Care Provider |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AURORA
MYFTARAJ
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 704-277-3998