Healthcare Provider Details

I. General information

NPI: 1679378004
Provider Name (Legal Business Name): DOWNRIVER HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W BIG BEAVER RD STE 200
TROY MI
48084-5283
US

IV. Provider business mailing address

100 W BIG BEAVER RD STE 200
TROY MI
48084-5283
US

V. Phone/Fax

Practice location:
  • Phone: 917-309-7347
  • Fax:
Mailing address:
  • Phone: 917-309-7347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: ERIC PUZAITZER
Title or Position: OWNER
Credential:
Phone: 917-309-7347