Healthcare Provider Details

I. General information

NPI: 1861997330
Provider Name (Legal Business Name): MED CARE WELLNESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 03/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 OLD 13 MILE RD
WARREN MI
48093-2171
US

IV. Provider business mailing address

8200 OLD 13 MILE RD
WARREN MI
48093-2171
US

V. Phone/Fax

Practice location:
  • Phone: 586-382-0598
  • Fax: 586-806-2485
Mailing address:
  • Phone: 586-382-0598
  • Fax: 586-806-2485

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 Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: RAKESH KAPOOR
Title or Position: ADMINISTRATOR
Credential:
Phone: 586-382-0598