MEDICARE: BAILEY'S HOME CARE STAFFING 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1336002757
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAILEY'S HOME CARE STAFFING AGENCY, LLC

Provider Business Mailing Address
First Line	:	28724 SUTHERLAND DR
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48088-4341
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15701 VAN DYKE
Second Line	:	SUITE 1013
City	:	DETROIT
State	:	MI
Zip	:	48234
Country	:	US
Telephone Number	:	586-625-7403
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID BROWN
Credential	:
Telephone Number	:	586-625-7403

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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