Healthcare Provider Details

I. General information

NPI: 1316839681
Provider Name (Legal Business Name): MONICA HALE MCFADDEN CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15395 FENTON
REDFORD MI
48239-3501
US

IV. Provider business mailing address

15395 FENTON
REDFORD MI
48239-3501
US

V. Phone/Fax

Practice location:
  • Phone: 248-989-4571
  • Fax:
Mailing address:
  • Phone: 248-812-4957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number230014604240609
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: