=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578452645
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SISTER CARE INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/01/2025
-----------------------------------------------------
Last Update Date | 07/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 18600 W 10 MILE RD STE 103
-----------------------------------------------------
City | SOUTHFIELD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48075-2645
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-757-3014
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18600 W 10 MILE RD STE 103
-----------------------------------------------------
City | SOUTHFIELD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48075-2645
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-757-3014
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PATNER /OWNER
-----------------------------------------------------
Name | ADRAIANA SANKAH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 248-757-3014
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------