MEDICARE: HEAL WELL DETROIT LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251E00000X	Home Health Agency
3	385H00000X	Respite Care

General Provider Information

NPI Number	:	1578433892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAL WELL DETROIT LLC

Provider Business Mailing Address
First Line	:	22243 FENKELL ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48223-1534
Country	:	US
Telephone Number	:	510-424-4255
Fax Number	:

Provider Business Practice Location Address
First Line	:	22243 FENKELL ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48223-1534
Country	:	US
Telephone Number	:	510-424-4255
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DESTINY COUNTRYMAN
Credential	:
Telephone Number	:	510-424-4255

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	11/11/2025

Similar Medicare Providers

1205667730 — DESTINY COUNTRYMAN
Practice Location Address:

22225 FENKELL ST
DETROIT, MI
48223-1534

Practice Phone: 313-900-1326
Practice Fax:

1730026097 — CORNERSTONE URBAN ALLIANCE
Practice Location Address:

3761 HARDING ST
DETROIT, MI
48214-1534

Practice Phone: 800-313-6403
Practice Fax:

1942307590 — ELITE OF CARE SERVICES, INC
Practice Location Address:

15442 OAKFIELD ST
DETROIT, MI
48227-1534

Practice Phone: 313-659-9030
Practice Fax:

1932970050 — JANENE SIMMONS
Practice Location Address:

19929 LESURE ST
DETROIT, MI
48235-1534

Practice Phone: 517-858-9657
Practice Fax:

1922823178 — BRITTANY RENEE HOLMES LMT
Practice Location Address:

19335 OHIO ST
DETROIT, MI
48221-1534

Practice Phone: 734-747-4305
Practice Fax:

1497692412 — CALVIN CARE AGENCY LLC
Practice Location Address:

15334 HEYDEN ST
DETROIT, MI
48223-1745

Practice Phone: 313-288-8426
Practice Fax:

Directions to “HEAL WELL DETROIT LLC ” 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 © 2007-2026 (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.