MEDICARE: CARING FOR AGING HEARTS HOME CARE AGENCY 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1770431728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING FOR AGING HEARTS HOME CARE AGENCY INC

Provider Business Mailing Address
First Line	:	5510 COOPER ST
Second Line	:	UP
City	:	DETROIT
State	:	MI
Zip	:	48213-3079
Country	:	US
Telephone Number	:	947-224-9497
Fax Number	:

Provider Business Practice Location Address
First Line	:	5510 COOPER ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48213-3079
Country	:	US
Telephone Number	:	947-224-9497
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	COREE RENE WHITLEY
Credential	:	WHITLEY
Telephone Number	:	947-224-9497

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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