MEDICARE: JOYFUL JOURNEY'S LIVING AND CARE LCC

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	:	1912796657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOYFUL JOURNEY'S LIVING AND CARE LCC

Provider Business Mailing Address
First Line	:	43700 WOODWARD AVE STE 301
Second Line	:
City	:	BLOOMFIELD
State	:	MI
Zip	:	48302-5062
Country	:	US
Telephone Number	:	313-804-2545
Fax Number	:

Provider Business Practice Location Address
First Line	:	43700 WOODWARD AVE STE 301
Second Line	:
City	:	BLOOMFIELD
State	:	MI
Zip	:	48302-5062
Country	:	US
Telephone Number	:	313-804-2545
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAKIERA MILES
Credential	:
Telephone Number	:	313-804-2545

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	04/30/2025

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