Healthcare Provider Details

I. General information

NPI: 1386564219
Provider Name (Legal Business Name): SIMPLY BEAUTIFUL HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18224 WESTHAVEN AVE
SOUTHFIELD MI
48075-7166
US

IV. Provider business mailing address

18224 WESTHAVEN AVE
SOUTHFIELD MI
48075-7166
US

V. Phone/Fax

Practice location:
  • Phone: 248-910-4663
  • Fax: 248-910-4663
Mailing address:
  • Phone: 248-910-4663
  • Fax: 248-910-4663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: PORCHIA DURANT
Title or Position: OWNER
Credential:
Phone: 248-910-4663