Healthcare Provider Details

I. General information

NPI: 1831986793
Provider Name (Legal Business Name): CARETIQUE IN HOME HELP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 04/23/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 W BIG BEAVER RD STE 2020
TROY MI
48084-4925
US

IV. Provider business mailing address

28244 SAINT LOUISE DR
WARREN MI
48092-5661
US

V. Phone/Fax

Practice location:
  • Phone: 248-433-5540
  • Fax:
Mailing address:
  • Phone: 248-422-5540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health 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: DANYELLE DIMACULANGAN
Title or Position: OWNER
Credential:
Phone: 248-422-5540