Healthcare Provider Details

I. General information

NPI: 1295687929
Provider Name (Legal Business Name): PRO WELL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42277 LOCKLIN DR
STERLING HEIGHTS MI
48314-2823
US

IV. Provider business mailing address

42277 LOCKLIN DR
STERLING HEIGHTS MI
48314-2823
US

V. Phone/Fax

Practice location:
  • Phone: 586-604-0417
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: IBRAHEEM KARCHO
Title or Position: OWNER
Credential:
Phone: 586-604-0417