Healthcare Provider Details

I. General information

NPI: 1255505863
Provider Name (Legal Business Name): AFFILIATED HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2008
Last Update Date: 09/06/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40000 GRAND RIVER AVE STE 305
NOVI MI
48375-2121
US

IV. Provider business mailing address

40000 GRAND RIVER AVE STE 305
NOVI MI
48375-2121
US

V. Phone/Fax

Practice location:
  • Phone: 248-354-5000
  • Fax: 248-354-5003
Mailing address:
  • Phone: 248-354-5000
  • Fax: 248-354-5003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PRISCILLA A NORRIS'JACKSON
Title or Position: OWNER
Credential:
Phone: 248-354-5000