Healthcare Provider Details

I. General information

NPI: 1497678486
Provider Name (Legal Business Name): UPSCALE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 CHAMBERS ST
SOUTH HAVEN MI
49090-1460
US

IV. Provider business mailing address

551 CHAMBERS ST
SOUTH HAVEN MI
49090-1460
US

V. Phone/Fax

Practice location:
  • Phone: 269-214-1199
  • Fax:
Mailing address:
  • Phone: 269-214-1199
  • Fax:

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: DENISE L PHILLIPS
Title or Position: MEMBER
Credential:
Phone: 269-214-1199