Healthcare Provider Details

I. General information

NPI: 1841127248
Provider Name (Legal Business Name): KINCARE MICHIGAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26026 TELEGRAPH RD STE 200-1045
SOUTHFIELD MI
48033-2560
US

IV. Provider business mailing address

26026 TELEGRAPH RD STE 200-1045
SOUTHFIELD MI
48033-2560
US

V. Phone/Fax

Practice location:
  • Phone: 248-429-9887
  • Fax:
Mailing address:
  • Phone: 248-429-9887
  • 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: PATRICK MISTRY
Title or Position: OWNER
Credential:
Phone: 248-429-9887