Healthcare Provider Details

I. General information

NPI: 1578488219
Provider Name (Legal Business Name): AMT HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 MARQUETTE ST
PONTIAC MI
48342-1526
US

IV. Provider business mailing address

90 MARQUETTE ST
PONTIAC MI
48342-1526
US

V. Phone/Fax

Practice location:
  • Phone: 248-843-7429
  • Fax:
Mailing address:
  • Phone: 248-843-7429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY CASARES
Title or Position: OWNER
Credential: PRIVATE HOMECARE
Phone: 248-843-7429