MEDICARE: COMPASSIONATE HEARTS OF DETROIT HOME CARE AGENCY 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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1164372959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE HEARTS OF DETROIT HOME CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	8111 GRINNELL ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48213-1026
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8111 GRINNELL ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48213-1026
Country	:	US
Telephone Number	:	313-247-2789
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERICA CAIN
Credential	:
Telephone Number	:	313-247-2789

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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Directions to “COMPASSIONATE HEARTS OF DETROIT HOME CARE AGENCY LLC ” Practice Location

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