=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043173024
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DREW'S CARE HOME STAFFING AGENCY, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/05/2025
-----------------------------------------------------
Last Update Date | 12/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9340 TAN BAY ST
-----------------------------------------------------
City | COMMERCE CHARTER TOWNSHIP
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48382
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-961-1414
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9340 TAN BAY STREET
-----------------------------------------------------
City | COMMERCE CHARTER TOWNSHIP
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48382
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-961-1414
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SIGNEE
-----------------------------------------------------
Name | DREW DANIEL CLAYBORN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 248-961-1414
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------