Healthcare Provider Details

I. General information

NPI: 1275453979
Provider Name (Legal Business Name): GOLDEN YEARS HOME HELP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7533 READY AVE
WARREN MI
48091-2020
US

IV. Provider business mailing address

7533 READY AVE
WARREN MI
48091-2020
US

V. Phone/Fax

Practice location:
  • Phone: 313-800-9003
  • Fax:
Mailing address:
  • Phone: 313-510-7200
  • 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: MOINUL HAQUE
Title or Position: CEO
Credential:
Phone: 313-510-7200