MEDICARE: MY HEART IS YOURS HOMECARE

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1144181421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY HEART IS YOURS HOMECARE

Provider Business Mailing Address
First Line	:	13868 ARLINGTON ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48212-2124
Country	:	US
Telephone Number	:	313-236-2070
Fax Number	:

Provider Business Practice Location Address
First Line	:	13868 ARLINGTON ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48212-2124
Country	:	US
Telephone Number	:	313-236-2070
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TRACIE JUANITA HILL
Credential	:
Telephone Number	:	313-236-2070

Provider Enumeration Date	:	11/18/2025
Last Update Date	:	11/21/2025

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Directions to “MY HEART IS YOURS HOMECARE ” Practice Location

Language	Start Address	Practice Location

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