Healthcare Provider Details

I. General information

NPI: 1962788943
Provider Name (Legal Business Name): S.M.E. HOMECARE PLUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2011
Last Update Date: 10/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39667 GREENVIEW PL APT 6
PLYMOUTH MI
48170-4562
US

IV. Provider business mailing address

39667 GREENVIEW PL APT 6
PLYMOUTH MI
48170-4562
US

V. Phone/Fax

Practice location:
  • Phone: 248-924-8893
  • Fax:
Mailing address:
  • Phone: 248-924-8893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: TOI MYCHELLE WHITFIELD
Title or Position: CERTIFIED NURSE ASSISTANT
Credential: CNA
Phone: 248-924-8893