Healthcare Provider Details

I. General information

NPI: 1356272942
Provider Name (Legal Business Name): GRATEFUL HOME CARE MI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15201 BURTON ST
OAK PARK MI
48237-1585
US

IV. Provider business mailing address

28475 GREENFIELD RD STE 113
SOUTHFIELD MI
48076-3034
US

V. Phone/Fax

Practice location:
  • Phone: 631-229-6504
  • Fax:
Mailing address:
  • Phone: 631-229-6504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: AMRAM CARCIENTE
Title or Position: CEO
Credential:
Phone: 631-229-6504