Healthcare Provider Details

I. General information

NPI: 1033910914
Provider Name (Legal Business Name): MICHIGAN CARE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29777 TELEGRAPH RD STE 4200
SOUTHFIELD MI
48034-1303
US

IV. Provider business mailing address

29777 TELEGRAPH RD STE 4200
SOUTHFIELD MI
48034-1303
US

V. Phone/Fax

Practice location:
  • Phone: 347-814-2467
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN KAHAN
Title or Position: OWNER
Credential:
Phone: 347-814-2467