MEDICARE: KRISTEN'S CARING HANDS 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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1275489700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRISTEN'S CARING HANDS LLC

Provider Business Mailing Address
First Line	:	1812 S ROCHESTER RD STE 103
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-3518
Country	:	US
Telephone Number	:	313-614-7066
Fax Number	:	313-614-7066

Provider Business Practice Location Address
First Line	:	1812 S ROCHESTER RD STE 103
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-3518
Country	:	US
Telephone Number	:	248-260-7020
Fax Number	:	248-260-7073

Authorized Official
Title or Position	:	OWNER
Name	:	KRISTEN DEBOLD
Credential	:
Telephone Number	:	313-614-7066

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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