Healthcare Provider Details

I. General information

NPI: 1174343065
Provider Name (Legal Business Name): AMAZING HOME CARE MI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2024
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18311 W 10 MILE RD STE 202
SOUTHFIELD MI
48075-2623
US

IV. Provider business mailing address

1601 BRONXDALE AVE STE 207
BRONX NY
10462-3364
US

V. Phone/Fax

Practice location:
  • Phone: 248-329-3000
  • Fax:
Mailing address:
  • Phone: 248-329-3000
  • Fax:

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: MR. DANIEL FROM
Title or Position: COO
Credential:
Phone: 718-863-3300