Healthcare Provider Details

I. General information

NPI: 1144866500
Provider Name (Legal Business Name): TBIY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2019
Last Update Date: 07/05/2025
Certification Date: 07/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29476 NORTHWESTERN HWY # 545
SOUTHFIELD MI
48034-1029
US

IV. Provider business mailing address

25172 MAPLEBROOKE DR
SOUTHFIELD MI
48033-5282
US

V. Phone/Fax

Practice location:
  • Phone: 248-679-1713
  • Fax: 248-809-3116
Mailing address:
  • Phone: 313-575-8977
  • Fax: 248-809-3116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGELA KIMBALL
Title or Position: OWNER
Credential:
Phone: 248-678-1713