Healthcare Provider Details

I. General information

NPI: 1922936426
Provider Name (Legal Business Name): EMMANUEL LOVE HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28401 MOUND ROAD # 144
WARREN MI
48090
US

IV. Provider business mailing address

28401 MOUND ROAD #144
WARREN MI
48090
US

V. Phone/Fax

Practice location:
  • Phone: 313-377-9703
  • Fax:
Mailing address:
  • Phone: 313-377-9703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: MRS. JOAN RUSSAW
Title or Position: MANAGER
Credential:
Phone: 313-377-9703