Healthcare Provider Details

I. General information

NPI: 1538080759
Provider Name (Legal Business Name): FANCY HOME CARE L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9227 NORTHFIELD DR
SAGINAW MI
48609-5139
US

IV. Provider business mailing address

9227 NORTHFIELD DR
SAGINAW MI
48609-5139
US

V. Phone/Fax

Practice location:
  • Phone: 989-213-5514
  • Fax:
Mailing address:
  • Phone: 989-239-2328
  • Fax: 989-239-2328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: RACHEL D MARTINEZ
Title or Position: OWNER
Credential:
Phone: 989-213-5514