=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518073303
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PERSONAL HOME CARE SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/22/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 32743 23 MILE RD
-----------------------------------------------------
City | CHESTERFIELD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48047-1985
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-241-3434
-----------------------------------------------------
Fax | 800-241-0074
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 32743 23 MILE RD
-----------------------------------------------------
City | CHESTERFIELD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48047-1985
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-725-3322
-----------------------------------------------------
Fax | 800-241-0074
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT & CEO
-----------------------------------------------------
Name | DR. CHERIE C WHITING
-----------------------------------------------------
Credential | PH.D
-----------------------------------------------------
Telephone | 586-725-3322
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251F00000X
-----------------------------------------------------
Taxonomy Name | Home Infusion Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336H0001X
-----------------------------------------------------
Taxonomy Name | Home Infusion Therapy Pharmacy
-----------------------------------------------------
License Number | 5301005257
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 332BP3500X
-----------------------------------------------------
Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
-----------------------------------------------------
License Number | 5301005257
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------