Healthcare Provider Details

I. General information

NPI: 1356877054
Provider Name (Legal Business Name): ASSIST 1 MEDICAL STAFFING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2017
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1116 VOORHEIS RD
WATERFORD MI
48328-3946
US

IV. Provider business mailing address

1116 VOORHEIS RD
WATERFORD MI
48328-3946
US

V. Phone/Fax

Practice location:
  • Phone: 248-977-1314
  • Fax: 947-886-2178
Mailing address:
  • Phone: 248-977-1314
  • Fax: 947-886-2178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateMI

VIII. Authorized Official

Name: OMAR MCPHERSON
Title or Position: OWNER/CEO
Credential:
Phone: 248-238-6381