MEDICARE: AYO ADVANTAGE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1417823063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AYO ADVANTAGE LLC

Provider Business Mailing Address
First Line	:	23750 FRISBEE ST APT 4
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48219-4604
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2785 E GRAND BLVD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48211-2003
Country	:	US
Telephone Number	:	313-353-1765
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	BABATUNDE AYORINDE
Credential	:
Telephone Number	:	313-353-1765

Provider Enumeration Date	:	10/13/2025
Last Update Date	:	10/13/2025

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