Healthcare Provider Details

I. General information

NPI: 1134658446
Provider Name (Legal Business Name): ALLCARE HOUSECALLS STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24225 W 9 MILE RD STE 170
SOUTHFIELD MI
48033-3978
US

IV. Provider business mailing address

24225 W 9 MILE RD STE 170
SOUTHFIELD MI
48033-3978
US

V. Phone/Fax

Practice location:
  • Phone: 313-731-2719
  • Fax: 336-654-0824
Mailing address:
  • Phone: 313-731-2719
  • Fax: 336-654-0824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704282282
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY JOHNSON
Title or Position: PROVIDER
Credential: NP
Phone: 313-731-2719