Healthcare Provider Details
I. General information
NPI: 1245771666
Provider Name (Legal Business Name): HOME CARE ASSOCIATES OF MI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/17/2017
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30050 HOOVER RD STE C
WARREN MI
48093-2544
US
IV. Provider business mailing address
30050 HOOVER RD STE C
WARREN MI
48093-2544
US
V. Phone/Fax
- Phone: 586-983-6932
- Fax: 586-261-5513
- Phone: 586-983-6932
- Fax: 586-261-5513
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SANUR
SIKDAR
Title or Position: PRESIDENT
Credential:
Phone: 586-983-6932