Healthcare Provider Details

I. General information

NPI: 1720471733
Provider Name (Legal Business Name): SAFE AND SECURE HOME HEALTH CARE.LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2015
Last Update Date: 06/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13854 LAKESIDE CIR BOX 233
STERLING HEIGHTS MI
48313-1316
US

IV. Provider business mailing address

24333 SOUTHFIELD RD SUITE 109
SOUTHFIELD MI
48075-2822
US

V. Phone/Fax

Practice location:
  • Phone: 248-602-0939
  • Fax:
Mailing address:
  • Phone: 800-391-9477
  • Fax: 586-283-0535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. EMELIN T WILLIAMS
Title or Position: OWNER
Credential: RN
Phone: 248-525-3424