Healthcare Provider Details

I. General information

NPI: 1164368189
Provider Name (Legal Business Name): SELECTED CARE MICHIGAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24361 GREENFIELD RD STE 320
SOUTHFIELD MI
48075-3139
US

IV. Provider business mailing address

24361 GREENFIELD RD STE 320
SOUTHFIELD MI
48075-3139
US

V. Phone/Fax

Practice location:
  • Phone: 313-343-1114
  • Fax: 616-366-9161
Mailing address:
  • Phone: 313-343-1114
  • Fax: 616-366-9161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ELIEZER WEISS
Title or Position: OWNER
Credential:
Phone: 313-343-1114