MEDICARE: PRIME AUTO CASE MANAGEMENT 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1811847544
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIME AUTO CASE MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	6563 COLONIAL ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2110
Country	:	US
Telephone Number	:	313-500-2165
Fax Number	:

Provider Business Practice Location Address
First Line	:	6563 COLONIAL ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2110
Country	:	US
Telephone Number	:	313-500-2165
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALIA MAKKI
Credential	:	NA
Telephone Number	:	313-500-2165

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

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