Healthcare Provider Details

I. General information

NPI: 1356287221
Provider Name (Legal Business Name): YACHAD CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24777 GREENFIELD RD # 201
SOUTHFIELD MI
48075-3065
US

IV. Provider business mailing address

24777 GREENFIELD RD STE 201
SOUTHFIELD MI
48075-3065
US

V. Phone/Fax

Practice location:
  • Phone: 248-621-4414
  • Fax:
Mailing address:
  • Phone: 248-621-4414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RACHEL ADLER
Title or Position: CEO
Credential: FNP-C
Phone: 248-259-3612