Healthcare Provider Details

I. General information

NPI: 1194393496
Provider Name (Legal Business Name): A HEART THAT CARES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2021
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25345 HASKELL ST
TAYLOR MI
48180-2084
US

IV. Provider business mailing address

1050 SAVAGE RD
VAN BUREN TOWNSHIP MI
48111-4918
US

V. Phone/Fax

Practice location:
  • Phone: 734-846-2551
  • Fax: 734-492-1200
Mailing address:
  • Phone: 734-846-2551
  • Fax: 734-492-1200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SUSSANAH TAKANG TABOT
Title or Position: ADMINISTRATOR
Credential:
Phone: 734-846-2551