Healthcare Provider Details

I. General information

NPI: 1497960165
Provider Name (Legal Business Name): CHHC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15565 NORTHLAND DR W STE 406
SOUTHFIELD MI
48075-5317
US

IV. Provider business mailing address

15565 NORTHLAND DR W STE 406
SOUTHFIELD MI
48075-5317
US

V. Phone/Fax

Practice location:
  • Phone: 248-483-3840
  • Fax: 248-483-3850
Mailing address:
  • Phone: 248-483-3840
  • Fax: 248-483-3850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. YOLANDA MCKINNEY
Title or Position: ADMINISTRATOR
Credential:
Phone: 313-493-3900