Healthcare Provider Details

I. General information

NPI: 1578973855
Provider Name (Legal Business Name): HARAMBEE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2014
Last Update Date: 02/03/2022
Certification Date: 02/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12811 HEMINGWAY
REDFORD MI
48239-4606
US

IV. Provider business mailing address

12811 HEMINGWAY
REDFORD MI
48239-4606
US

V. Phone/Fax

Practice location:
  • Phone: 313-510-7003
  • Fax:
Mailing address:
  • Phone: 313-510-7003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number6801086645
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number6801086645
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number6801086645
License Number StateMI

VIII. Authorized Official

Name: MRS. ANJANETTE MARIE DAVENPORT HATTER
Title or Position: FOUNDER LEAD SOCIAL WORK/THERAPIST
Credential: LMSW
Phone: 313-510-7003