Healthcare Provider Details

I. General information

NPI: 1720383748
Provider Name (Legal Business Name): FOREVER HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2011
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39500 W 10 MILE RD STE 109
NOVI MI
48375-2947
US

IV. Provider business mailing address

39500 W 10 MILE RD STE 109
NOVI MI
48375-2947
US

V. Phone/Fax

Practice location:
  • Phone: 248-900-1927
  • Fax: 586-731-3209
Mailing address:
  • Phone: 248-900-1927
  • Fax: 586-731-3209

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: FATEMA MOIZ BOHRA
Title or Position: CLINICAL MANAGER
Credential: RN
Phone: 586-731-6639