Healthcare Provider Details

I. General information

NPI: 1205412178
Provider Name (Legal Business Name): PLANNED CARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 02/16/2022
Certification Date: 02/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26038 WOODWARD AVE
ROYAL OAK MI
48067-0914
US

IV. Provider business mailing address

26038 WOODWARD AVE
ROYAL OAK MI
48067-0914
US

V. Phone/Fax

Practice location:
  • Phone: 248-591-3460
  • Fax: 248-591-3459
Mailing address:
  • Phone: 248-591-3460
  • Fax: 248-591-3459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: STEVE SIPORIN
Title or Position: OWNER
Credential:
Phone: 248-318-9450