MEDICARE: PERFECTING HOME M-CARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1972187524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERFECTING HOME M-CARE LLC

Provider Business Mailing Address
First Line	:	25900 GREENFIELD RD STE 411
Second Line	:
City	:	OAK PARK
State	:	MI
Zip	:	48237-1287
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	25900 GREENFIELD RD STE 411
Second Line	:
City	:	OAK PARK
State	:	MI
Zip	:	48237-1287
Country	:	US
Telephone Number	:	313-492-6702
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT/DON
Name	:	SONYA GILBERT
Credential	:
Telephone Number	:	313-492-6702

Provider Enumeration Date	:	05/10/2021
Last Update Date	:	09/22/2023

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