Healthcare Provider Details

I. General information

NPI: 1023934593
Provider Name (Legal Business Name): FAITHFUL HAVEN HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20800 SOUTHFIELD RD STE 330120
SOUTHFIELD MI
48075-4238
US

IV. Provider business mailing address

21718 MCCLUNG AVE
SOUTHFIELD MI
48075-3218
US

V. Phone/Fax

Practice location:
  • Phone: 586-588-4290
  • Fax:
Mailing address:
  • Phone: 586-588-4290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RACHEL MARIE DEGREEF
Title or Position: CEO
Credential:
Phone: 586-588-4290