NPI Code Details Logo

NPI 1639809577

NPI 1639809577 : CARE AND CONSULTING, LLC : DETROIT, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1639809577
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CARE AND CONSULTING, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/14/2022
-----------------------------------------------------
    Last Update Date     |    06/14/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    20255 HARNED ST 
-----------------------------------------------------
    City                 |    DETROIT
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48234-1570
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-820-3338
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    20255 HARNED ST 
-----------------------------------------------------
    City                 |    DETROIT
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48234-1570
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-820-3338
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     VALERIE  PETTIS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    248-820-3338
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    310400000X
-----------------------------------------------------
    Taxonomy Name        |    Assisted Living Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    3104A0625X
-----------------------------------------------------
    Taxonomy Name        |    Assisted Living Facility (Mental Illness)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    3104A0630X
-----------------------------------------------------
    Taxonomy Name        |    Assisted Living Facility (Behavioral Disturbances)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    311500000X
-----------------------------------------------------
    Taxonomy Name        |    Alzheimer Center (Dementia Center)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.