=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932403912
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PERFECTING HOME CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/05/2011
-----------------------------------------------------
Last Update Date | 03/12/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 25900 GREENFIELD RD STE 411
-----------------------------------------------------
City | OAK PARK
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48237-1287
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-291-5190
-----------------------------------------------------
Fax | 248-629-9620
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25900 GREENFIELD RD STE 411
-----------------------------------------------------
City | OAK PARK
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48237-1287
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-291-5190
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MAMIE BEATTY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 248-291-5190
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 4703058695
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------