MEDICARE: OCVR-CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	374J00000X	Doula
3	251C00000X	Developmentally Disabled Services Day Training Agency
4	172V00000X	Community Health Worker
5	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1194250837	OTHER	MI	NPPES

General Provider Information

NPI Number	:	1093420358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCVR-CARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 595
Second Line	:
City	:	WAYNE
State	:	MI
Zip	:	48184-0595
Country	:	US
Telephone Number	:	248-841-0448
Fax Number	:	833-740-4255

Provider Business Practice Location Address
First Line	:	33150 SCHOOLCRAFT RD STE L4
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48150-1631
Country	:	US
Telephone Number	:	248-841-0448
Fax Number	:	833-740-4255

Authorized Official
Title or Position	:	OWNER
Name	:	TAMARA L WHITE
Credential	:	MA, LPC, CRC
Telephone Number	:	313-588-6671

Provider Enumeration Date	:	01/20/2023
Last Update Date	:	05/12/2026

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Directions to “OCVR-CARE LLC ” Practice Location

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