Healthcare Provider Details

I. General information

NPI: 1861328189
Provider Name (Legal Business Name): DYNAMIC HOME CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24001 SOUTHFIELD RD STE 205
SOUTHFIELD MI
48075-2847
US

IV. Provider business mailing address

24001 SOUTHFIELD RD STE 205
SOUTHFIELD MI
48075-2847
US

V. Phone/Fax

Practice location:
  • Phone: 810-265-9227
  • Fax: 810-265-9227
Mailing address:
  • Phone: 810-265-9227
  • Fax: 810-265-9227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW ANDREWS
Title or Position: PRESIDENT
Credential: DPM
Phone: 810-265-9227