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General NPI Number Information
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NPI Number | 1669046173
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Entity Type | Organization
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Legal Business Name | GRANNY'S HELPERS
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 16129 W MCNICHOLS ROAD
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City | DETROIT
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State | MI
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Zip | 48235
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Country | US
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Telephone | 313-370-7849
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Fax | 231-216-7861
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Provider Business Mailing Address
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Address Line | 11000 W MCNICHOLS RD
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City | DETROIT
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State | MI
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Zip | 48221-2357
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Country | US
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Telephone | 313-370-7849
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Fax | 231-216-7861
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Authorized Official
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Title or Position | OWNER/ OPERATOR
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Name | MS. LAKESHA STARR GREEN
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Credential | NURSE ASSISTANT
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Telephone | 313-370-7849
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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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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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