MEDICARE: AMETRINE HOME CARE 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	:	1356204762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMETRINE HOME CARE LLC

Provider Business Mailing Address
First Line	:	7517 DOLPHIN
Second Line	:
City	:	REDFORD
State	:	MI
Zip	:	48239-1077
Country	:	US
Telephone Number	:	313-772-3208
Fax Number	:

Provider Business Practice Location Address
First Line	:	43996 WOODWARD AVE STE 5
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-5049
Country	:	US
Telephone Number	:	313-772-3208
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TIA SEARS
Credential	:	LPN
Telephone Number	:	313-772-3208

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

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