Healthcare Provider Details

I. General information

NPI: 1225885908
Provider Name (Legal Business Name): TRUSTED FRIENDS & FAMILY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2024
Last Update Date: 05/01/2024
Certification Date: 05/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19646 W 9 MILE RD
SOUTHFIELD MI
48075-3957
US

IV. Provider business mailing address

19646 W 9 MILE RD
SOUTHFIELD MI
48075-3957
US

V. Phone/Fax

Practice location:
  • Phone: 734-365-3997
  • Fax:
Mailing address:
  • Phone: 734-365-3997
  • 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 Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. LASHELLE MCCLASTER
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 734-365-3997