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NPI Code Detail

MEDICARE: ENLIGHTENMENT CARE LLC

MEDICARE: ENLIGHTENMENT 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
1251J00000XNursing Care Agency
2251E00000XHome Health Agency
33747A0650XAttendant Care Provider
4253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1518617174
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENLIGHTENMENT CARE LLC
Provider Business Mailing Address
First Line : 33250 WARREN RD STE 209
Second Line :
City : WESTLAND
State : MI
Zip : 48185-2920
Country : US
Telephone Number : 313-265-7894
Fax Number : 734-366-1135
Provider Business Practice Location Address
First Line : 33250 WARREN RD STE 209
Second Line :
City : WESTLAND
State : MI
Zip : 48185-2920
Country : US
Telephone Number : 313-265-7894
Fax Number : 734-366-1135
Authorized Official
Title or Position : OWNER
Name : NADDIA BASKIN
Credential : RN
Telephone Number : 313-265-7894
Provider Enumeration Date : 03/26/2022
Last Update Date : 04/17/2026

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Directions to “ENLIGHTENMENT CARE LLC ” Practice Location

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