Healthcare Provider Details

I. General information

NPI: 1790629962
Provider Name (Legal Business Name): A M A HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12250 BLISS CT
STERLING HEIGHTS MI
48312-3102
US

IV. Provider business mailing address

12250 BLISS CT
STERLING HEIGHTS MI
48312-3102
US

V. Phone/Fax

Practice location:
  • Phone: 586-339-6801
  • Fax: 586-339-6801
Mailing address:
  • Phone: 586-339-6801
  • Fax: 586-339-6801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. LILYAN DEESHA JR.
Title or Position: DEESHA
Credential: LILLYAN
Phone: 586-339-6801