NPI Code Details Logo

NPI 1083424782

NPI 1083424782 : CRANE CARE LLC : DETROIT, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1083424782
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CRANE CARE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/13/2025
-----------------------------------------------------
    Last Update Date     |    01/13/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3795 CRANE ST 
-----------------------------------------------------
    City                 |    DETROIT
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48214-1232
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-678-4552
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    19335 WOODMONT ST 
-----------------------------------------------------
    City                 |    HARPER WOODS
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48225-1323
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-678-4552
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGER
-----------------------------------------------------
    Name                 |     JENITA  REED 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    248-678-4552
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.