Healthcare Provider Details

I. General information

NPI: 1972467637
Provider Name (Legal Business Name): BAILEY'S HOME CARE STAFFING AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28724 SUTHERLAND DR
WARREN MI
48088-4341
US

IV. Provider business mailing address

28724 SUTHERLAND DR
WARREN MI
48088-4341
US

V. Phone/Fax

Practice location:
  • Phone: 586-625-7403
  • Fax:
Mailing address:
  • Phone: 586-625-7403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: DAVID BROWN
Title or Position: OWNER
Credential:
Phone: 586-625-7403