MEDICARE: ADELCARE 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	:	1619855293
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADELCARE LLC

Provider Business Mailing Address
First Line	:	34204 CLINTON PLAZA DR
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48035-3335
Country	:	US
Telephone Number	:	313-920-4195
Fax Number	:

Provider Business Practice Location Address
First Line	:	34204 CLINTON PLAZA DR
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48035-3335
Country	:	US
Telephone Number	:	313-920-4195
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRIDGETT MOSS
Credential	:
Telephone Number	:	313-920-4195

Provider Enumeration Date	:	08/22/2025
Last Update Date	:	08/22/2025

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Directions to “ADELCARE LLC ” Practice Location

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