MEDICARE: ONES PURPOSE 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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1902751571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONES PURPOSE LLC

Provider Business Mailing Address
First Line	:	20491 KLINGER ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48234-1745
Country	:	US
Telephone Number	:	248-607-7501
Fax Number	:	248-331-2402

Provider Business Practice Location Address
First Line	:	20491 KLINGER ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48234-1745
Country	:	US
Telephone Number	:	248-607-7501
Fax Number	:	248-331-2402

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TERRELL CHESTNUT
Credential	:
Telephone Number	:	313-704-3172

Provider Enumeration Date	:	02/28/2026
Last Update Date	:	02/28/2026

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Directions to “ONES PURPOSE LLC ” Practice Location

Language	Start Address	Practice Location

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