Healthcare Provider Details

I. General information

NPI: 1710074042
Provider Name (Legal Business Name): STERLING HOME CARE AGENCY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 09/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24123 GREENFIELD RD SUITE 306
SOUTHFIELD MI
48075-3125
US

IV. Provider business mailing address

24123 GREENFIELD RD SUITE 306
SOUTHFIELD MI
48075-3125
US

V. Phone/Fax

Practice location:
  • Phone: 248-569-0038
  • Fax: 248-395-3674
Mailing address:
  • Phone: 248-569-0038
  • Fax: 248-395-3674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberMI638029
License Number StateMI

VIII. Authorized Official

Name: MS. TONIA L ELKINS
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 248-596-0038