MEDICARE: CARE PROVIDERS WB, 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		MI

General Provider Information

NPI Number	:	1629336961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE PROVIDERS WB, LLC

Provider Business Mailing Address
First Line	:	5829 W MAPLE RD STE 117
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-2294
Country	:	US
Telephone Number	:	248-851-4357
Fax Number	:	248-851-4360

Provider Business Practice Location Address
First Line	:	5829 W MAPLE RD STE 117
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-2294
Country	:	US
Telephone Number	:	248-851-4357
Fax Number	:	248-851-4360

Authorized Official
Title or Position	:	VP OF QUALITY, SAFETY, RISK MGT.
Name	:	PATRICIA S SANDERS
Credential	:	RN, CPHRM
Telephone Number	:	770-360-5554

Provider Enumeration Date	:	04/24/2012
Last Update Date	:	04/24/2012

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Directions to “CARE PROVIDERS WB, LLC ” Practice Location

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