Healthcare Provider Details

I. General information

NPI: 1598779282
Provider Name (Legal Business Name): EMBRACE HOME HEALTH PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19189 W 10 MILE ROAD
SOUTHFIELD MI
48075
US

IV. Provider business mailing address

27301 DEQUINDRE RD STE 207
MADISON HEIGHTS MI
48071-3457
US

V. Phone/Fax

Practice location:
  • Phone: 248-948-7985
  • Fax: 248-948-9031
Mailing address:
  • Phone: 248-795-1346
  • Fax: 248-965-3397

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 Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. ELOISA ORIAL
Title or Position: CEO
Credential:
Phone: 248-894-7593