=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962380287
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAREVIO HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2025
-----------------------------------------------------
Last Update Date | 08/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 29215 PLYMOUTH RD
-----------------------------------------------------
City | LIVONIA
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48150-2392
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-331-3268
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 29215 PLYMOUTH RD
-----------------------------------------------------
City | LIVONIA
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48150-2392
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-331-3268
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
Name | ZEID SHEENA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 248-331-3268
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 385H00000X
-----------------------------------------------------
Taxonomy Name | Respite Care
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------