MEDICARE: FREQUENCY HEALTHCARE AGENCY CORP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	372600000X	Adult Companion
3	373H00000X	Day Training/Habilitation Specialist
4	3747A0650X	Attendant Care Provider
5	3747P1801X	Personal Care Attendant
6	374U00000X	Home Health Aide
7	376J00000X	Homemaker
8	2081P0010X	Pediatric Rehabilitation Medicine Physician

General Provider Information

NPI Number	:	1285473215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREQUENCY HEALTHCARE AGENCY CORP

Provider Business Mailing Address
First Line	:	7436 OAKLAND ST # 1015
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48211-1352
Country	:	US
Telephone Number	:	855-554-1145
Fax Number	:

Provider Business Practice Location Address
First Line	:	7436 OAKLAND ST # 1015
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48211-1352
Country	:	US
Telephone Number	:	855-554-1145
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MELISSA BATES
Credential	:
Telephone Number	:	312-702-9324

Provider Enumeration Date	:	05/20/2024
Last Update Date	:	05/20/2024

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