MEDICARE: JANICE PEARL CRAIG-GERSHAM

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	374U00000X	Home Health Aide		MI

General Provider Information

NPI Number	:	1679424592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE PEARL CRAIG-GERSHAM

Provider Business Mailing Address
First Line	:	19744 BENTLER ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48219-1962
Country	:	US
Telephone Number	:	248-820-3753
Fax Number	:	248-480-7233

Provider Business Practice Location Address
First Line	:	19744 BENTLER ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48219-1962
Country	:	US
Telephone Number	:	248-820-3753
Fax Number	:	248-480-7233

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

Similar Medicare Providers

1386251841 — DIVERSIFIED COMMUNITY SERVICES
Practice Location Address:

10301 W 7 MILE RD
DETROIT, MI
48221-1962

Practice Phone: 248-798-4048
Practice Fax: 248-721-8360

1316690381 — FAMILY MEDICAL CENTER OF MICHIGAN,INC
Practice Location Address:

7840 WAGNER ST
DETROIT, MI
48210-1962

Practice Phone: 734-850-6903
Practice Fax: 734-850-0520

1124979430 — MRS. LATREASHA MARIE WILLIAMS
Practice Location Address:

17542 WESTMORELAND RD
DETROIT, MI
48219-3549

Practice Phone: 313-759-5859
Practice Fax:

1013867738 — TAESHA TATUM
Practice Location Address:

24424 W MCNICHOLS RD
DETROIT, MI
48219-3653

Practice Phone: 313-531-2500
Practice Fax:

1922958644 — KAILA LEILANI HORN
Practice Location Address:

24424 W MCNICHOLS RD
DETROIT, MI
48219-3653

Practice Phone: 313-531-2500
Practice Fax:

1831049550 — JARED NISKAR
Practice Location Address:

24424 W MCNICHOLS RD
DETROIT, MI
48219-3653

Practice Phone: 313-531-2500
Practice Fax:

Directions to “ JANICE PEARL CRAIG-GERSHAM ” 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.