Healthcare Provider Details

I. General information

NPI: 1356203236
Provider Name (Legal Business Name): UPLIFT ADS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22660 VAN DYKE AVE
WARREN MI
48089-2389
US

IV. Provider business mailing address

22660 VAN DYKE AVE APT A
WARREN MI
48089-2300
US

V. Phone/Fax

Practice location:
  • Phone: 586-822-0336
  • Fax:
Mailing address:
  • Phone: 586-455-4837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TANVEER HUSSAIN
Title or Position: DIRECTOR
Credential:
Phone: 586-455-4837