MEDICARE: SPECIALIZED CARE FACILITIES, INC.

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1689523573
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALIZED CARE FACILITIES, INC.

Provider Business Mailing Address
First Line	:	3873 HI CREST DR
Second Line	:
City	:	LAKE ORION
State	:	MI
Zip	:	48360-2418
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8616 HIDDEN ACRE CT
Second Line	:
City	:	CLARKSTON
State	:	MI
Zip	:	48348-2895
Country	:	US
Telephone Number	:	810-533-0392
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DENISE HOBBS
Credential	:
Telephone Number	:	810-533-0392

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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