Healthcare Provider Details

I. General information

NPI: 1659283208
Provider Name (Legal Business Name): SILVER HEART HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30050 MOULIN AVE
WARREN MI
48088-3108
US

IV. Provider business mailing address

30050 MOULIN AVE
WARREN MI
48088-3108
US

V. Phone/Fax

Practice location:
  • Phone: 904-888-9472
  • Fax:
Mailing address:
  • Phone: 904-888-9472
  • 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: SHATHA FOUAD
Title or Position: OWNER
Credential:
Phone: 904-888-9472