=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740198795
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | H.O.A.N LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2026
-----------------------------------------------------
Last Update Date | 08/31/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15516 BEAVERLAND ST
-----------------------------------------------------
City | DETROIT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48223-1473
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 810-525-4708
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15516 BEAVERLAND ST
-----------------------------------------------------
City | DETROIT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48223-1473
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 810-525-4708
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CAIRA REDDING
-----------------------------------------------------
Credential | LPN
-----------------------------------------------------
Telephone | 810-525-4708
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------