Healthcare Provider Details

I. General information

NPI: 1144146283
Provider Name (Legal Business Name): BAKER ALMISHHADANI MI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4714 HARROW CT
STERLING HEIGHTS MI
48310-2043
US

IV. Provider business mailing address

4714 HARROW CT
STERLING HEIGHTS MI
48310-2043
US

V. Phone/Fax

Practice location:
  • Phone: 586-224-0404
  • Fax:
Mailing address:
  • Phone: 586-224-0404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: