Healthcare Provider Details

I. General information

NPI: 1639096092
Provider Name (Legal Business Name): MICHIGAN HOME HELP CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16300 ADDISON ST
SOUTHFIELD MI
48075-6903
US

IV. Provider business mailing address

16300 ADDISON ST
SOUTHFIELD MI
48075-6903
US

V. Phone/Fax

Practice location:
  • Phone: 347-534-8267
  • Fax:
Mailing address:
  • Phone: 347-534-8267
  • 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: EMILE ZOLA
Title or Position: ADMINISTRATOR
Credential:
Phone: 347-534-8267