Healthcare Provider Details

I. General information

NPI: 1467178970
Provider Name (Legal Business Name): SPHINX CASE MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4415 METROPOLITAN PKWY STE C
STERLING HEIGHTS MI
48310-4523
US

IV. Provider business mailing address

4415 METROPOLITAN PKWY STE C
STERLING HEIGHTS MI
48310-4523
US

V. Phone/Fax

Practice location:
  • Phone: 313-492-8449
  • Fax: 586-264-2919
Mailing address:
  • Phone: 313-492-8449
  • Fax: 586-264-2919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code364SC2300X
TaxonomyChronic Care Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. RAMY YACOUB
Title or Position: PRESIDENT
Credential:
Phone: 313-492-8449