=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992644025
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LENCESLOVINGCARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/25/2026
-----------------------------------------------------
Last Update Date | 03/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 24901 JEFFERSON AVE APT 208
-----------------------------------------------------
City | SAINT CLAIR SHORES
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48080-1345
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-804-1223
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10173 ROXBURY ST
-----------------------------------------------------
City | DETROIT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48224
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-646-5546
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. VALENCIA C GALES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 313-646-5546
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374U00000X
-----------------------------------------------------
Taxonomy Name | Home Health Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------