=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104792928
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SENIOR CAREGIVING SOLUTIONS OF MICHIGAN
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/17/2025
-----------------------------------------------------
Last Update Date | 10/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 33241 KIRBY ST
-----------------------------------------------------
City | FARMINGTON
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48336-5040
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-790-5121
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 33241 KIRBY ST
-----------------------------------------------------
City | FARMINGTON
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48336-5040
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-790-5121
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | KATRINA RENEE PETERS
-----------------------------------------------------
Credential | CAREGIVER
-----------------------------------------------------
Telephone | 313-790-5121
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 372500000X
-----------------------------------------------------
Taxonomy Name | Chore Provider
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------