MEDICARE: ADS HOME CARE, 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1821932914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADS HOME CARE, INC

Provider Business Mailing Address
First Line	:	46120 BALDWIN DR
Second Line	:
City	:	MACOMB
State	:	MI
Zip	:	48044-5218
Country	:	US
Telephone Number	:	586-489-2233
Fax Number	:	248-842-1451

Provider Business Practice Location Address
First Line	:	46120 BALDWIN DR
Second Line	:
City	:	MACOMB
State	:	MI
Zip	:	48044-5218
Country	:	US
Telephone Number	:	586-489-2233
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ADRA RAZOOK
Credential	:
Telephone Number	:	586-489-2233

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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Directions to “ADS HOME CARE, INC ” Practice Location

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