Healthcare Provider Details

I. General information

NPI: 1104069673
Provider Name (Legal Business Name): AMEN'S CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 04/18/2023
Certification Date: 04/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9014 ROCKLAND
REDFORD MI
48239
US

IV. Provider business mailing address

9014 ROCKLAND
REDFORD MI
48239-1888
US

V. Phone/Fax

Practice location:
  • Phone: 313-740-7231
  • Fax: 313-740-7231
Mailing address:
  • Phone: 313-740-7231
  • Fax: 313-740-7231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License NumberAS820294357
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. OSERATIN TINU UWAIFO
Title or Position: MANAGER
Credential: PROVIDER
Phone: 313-478-1374