Healthcare Provider Details

I. General information

NPI: 1558277152
Provider Name (Legal Business Name): HOME HAVEN CARE SOLUTIONS L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27301 DEQUINDRE RD # 2021
MADISON HEIGHTS MI
48071-3473
US

IV. Provider business mailing address

14278 MERRIWEATHER PL
WARREN MI
48089-2138
US

V. Phone/Fax

Practice location:
  • Phone: 586-258-9706
  • Fax:
Mailing address:
  • Phone: 586-258-9706
  • Fax:

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: KENYETA D JEFFERSON
Title or Position: OWNER
Credential:
Phone: 313-629-5836