Healthcare Provider Details

I. General information

NPI: 1174394894
Provider Name (Legal Business Name): CANDUS CARES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2024
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24901 NORTHWESTERN HWY STE 214
SOUTHFIELD MI
48075-2205
US

IV. Provider business mailing address

24901 NORTHWESTERN HWY STE 214
SOUTHFIELD MI
48075-2205
US

V. Phone/Fax

Practice location:
  • Phone: 248-328-5263
  • Fax:
Mailing address:
  • Phone: 248-328-5263
  • Fax:

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 Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. KIESHA CALDWELL
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 313-917-7189