=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790629962
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A M A HOMECARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/16/2026
-----------------------------------------------------
Last Update Date | 04/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12250 BLISS CT
-----------------------------------------------------
City | STERLING HEIGHTS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48312-3102
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-339-6801
-----------------------------------------------------
Fax | 586-339-6801
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12250 BLISS CT
-----------------------------------------------------
City | STERLING HEIGHTS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48312-3102
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-339-6801
-----------------------------------------------------
Fax | 586-339-6801
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DEESHA
-----------------------------------------------------
Name | MS. LILYAN DEESHA JR.
-----------------------------------------------------
Credential | LILLYAN
-----------------------------------------------------
Telephone | 586-339-6801
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP1600X
-----------------------------------------------------
Taxonomy Name | Pastoral Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------