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General NPI Number Information
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NPI Number | 1558277152
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Entity Type | Organization
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Legal Business Name | HOME HAVEN CARE SOLUTIONS L.L.C
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Dates
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Enumeration Date | 08/22/2026
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Last Update Date | 08/22/2026
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Provider Practice Location Address
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Address Line | 27301 DEQUINDRE RD # 2021
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-3473
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Country | US
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Telephone | 586-258-9706
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Fax |
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Provider Business Mailing Address
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Address Line | 14278 MERRIWEATHER PL
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City | WARREN
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State | MI
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Zip | 48089-2138
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Country | US
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Telephone | 586-258-9706
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENYETA D JEFFERSON
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Credential |
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Telephone | 313-629-5836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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