Healthcare Provider Details

I. General information

NPI: 1366361511
Provider Name (Legal Business Name): LIFETIME HOME HELP CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

548 E 11 MILE RD
MADISON HEIGHTS MI
48071-3702
US

IV. Provider business mailing address

1987 CHRISTENBURY CT
ROCHESTER MI
48306-0102
US

V. Phone/Fax

Practice location:
  • Phone: 810-444-4040
  • Fax: 248-548-9992
Mailing address:
  • Phone: 810-444-4040
  • Fax: 248-548-9992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SAMIR DAWOOD
Title or Position: PRESIDENT
Credential: MBA, MSA
Phone: 810-444-4040