Healthcare Provider Details

I. General information

NPI: 1972136471
Provider Name (Legal Business Name): CARIBARBFREY HEALTH & MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2020
Last Update Date: 03/10/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28845 RYAN RD
WARREN MI
48092-4128
US

IV. Provider business mailing address

28845 RYAN RD
WARREN MI
48092-4128
US

V. Phone/Fax

Practice location:
  • Phone: 586-995-7335
  • Fax:
Mailing address:
  • Phone: 586-995-7335
  • 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 Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. TWANDA LANE
Title or Position: OWNER
Credential:
Phone: 586-995-7335