Healthcare Provider Details

I. General information

NPI: 1659227007
Provider Name (Legal Business Name): NGT CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39258 AVONDALE ST
WESTLAND MI
48186-3758
US

IV. Provider business mailing address

39258 AVONDALE ST
WESTLAND MI
48186-3758
US

V. Phone/Fax

Practice location:
  • Phone: 734-714-6041
  • Fax:
Mailing address:
  • Phone: 734-714-6041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: TOSIN ADIGUN
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 281-886-2475