MEDICARE: MS. EBONY WHISENTON

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	372600000X	Adult Companion
2	376K00000X	Nurse's Aide
3	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1407693237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EBONY WHISENTON

Provider Business Mailing Address
First Line	:	17664 FENTON ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48219-3068
Country	:	US
Telephone Number	:	216-645-3006
Fax Number	:

Provider Business Practice Location Address
First Line	:	17664 FENTON ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48219-3068
Country	:	US
Telephone Number	:	216-645-3006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2024
Last Update Date	:	07/10/2024

Similar Medicare Providers

1154411213 — MERVIN GARY WOLFF M.D.
Practice Location Address:

3011 W GRAND BLVD STE 210
DETROIT, MI
48202-3068

Practice Phone: 313-871-7572
Practice Fax: 313-871-7573

1841621018 — ADDUS HEALTHCARE, INC.
Practice Location Address:

3011 W GRAND BLVD STE 206
DETROIT, MI
48202-3068

Practice Phone: 313-309-2999
Practice Fax: 877-592-0262

1154855443 — GAREN WOLFF
Practice Location Address:

3011 W GRAND BLVD STE 210
DETROIT, MI
48202-3068

Practice Phone: 313-871-7572
Practice Fax: 313-789-1714

1265003024 — MELISSA LONGTINE LPCC
Practice Location Address:

808 WASHINGTON AVE STE 22D
DETROIT LAKES, MN
56501-3068

Practice Phone: 218-849-7524
Practice Fax:

1689333080 — WOLFFALLERGYASTHMA PLLC
Practice Location Address:

3011 W GRAND BLVD STE 210
DETROIT, MI
48202-3068

Practice Phone: 313-871-7572
Practice Fax:

1306592100 — WOLFFINTERNALMEDICINE PLLC
Practice Location Address:

3011 W GRAND BLVD STE 210
DETROIT, MI
48202-3068

Practice Phone: 313-871-7572
Practice Fax: 313-871-7573

Directions to “ MS. EBONY WHISENTON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.