MEDICARE: WISE HOME CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1124986385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WISE HOME CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2138 TAMIE WAY
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-3626
Country	:	US
Telephone Number	:	313-231-7624
Fax Number	:

Provider Business Practice Location Address
First Line	:	2138 TAMIE WAY
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-3626
Country	:	US
Telephone Number	:	313-231-7624
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MRS. MICHELLE MITCHELL
Credential	:	RPN
Telephone Number	:	517-302-2056

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “WISE HOME CARE SERVICES LLC ” Practice Location

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