MEDICARE: MR. GHARIAN CARVER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	372600000X	Adult Companion
2	251E00000X	Home Health Agency	MI
3	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1134420805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GHARIAN CARVER

Provider Business Mailing Address
First Line	:	PO BOX 211234
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48221-5334
Country	:	US
Telephone Number	:	313-623-6907
Fax Number	:

Provider Business Practice Location Address
First Line	:	3220 BLOSSOM
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48324-2189
Country	:	US
Telephone Number	:	313-623-6907
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2010
Last Update Date	:	03/13/2026

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Directions to “ MR. GHARIAN CARVER ” Practice Location

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