Healthcare Provider Details

I. General information

NPI: 1316863095
Provider Name (Legal Business Name): RELATIVE HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/08/2026
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

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

V. Phone/Fax

Practice location:
  • Phone: 720-707-9177
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BATSHEVA COHEN
Title or Position: OWNER
Credential:
Phone: 720-707-9177