MEDICARE: SHANTAE CARTER

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1992495741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANTAE CARTER

Provider Business Mailing Address
First Line	:	23738 W WARREN ST APT 5
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-4402
Country	:	US
Telephone Number	:	313-859-1175
Fax Number	:

Provider Business Practice Location Address
First Line	:	23738 W WARREN ST APT 5
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-4402
Country	:	US
Telephone Number	:	313-859-1175
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2023
Last Update Date	:	05/15/2023

Similar Medicare Providers

1467807016 — CONNOR LAWRENCE ROSE PSYD
Practice Location Address:

2551 CHARNEY RD
UNIVERSITY HEIGHTS, OH
44118-4402

Practice Phone: 503-558-5887
Practice Fax:

1376280800 — VELVET NEFFENGER
Practice Location Address:

342 WILMINGTON DR
BROADVIEW HEIGHTS, OH
44147-4402

Practice Phone: 440-351-9020
Practice Fax:

1457098980 — THE VELVET TOUCH MASSAGE, LLC
Practice Location Address:

342 WILMINGTON DR
BROADVIEW HEIGHTS, OH
44147-4402

Practice Phone: 440-351-9020
Practice Fax:

1124973052 — PLATINUM PRIMARY CARE, PLLC
Practice Location Address:

23420 FORD RD STE 100
DEARBORN HEIGHTS, MI
48127-2396

Practice Phone: 313-203-5310
Practice Fax: 313-914-2529

1811843576 — IMANE AHMAD
Practice Location Address:

26336 RICHARDSON ST
DEARBORN HEIGHTS, MI
48127-4614

Practice Phone: 313-502-3309
Practice Fax:

1356344121 — CHRISTOPHER EMIL HERMANN NP-C
Practice Location Address:

6592 N SILVERY LN
DEARBORN HEIGHTS, MI
48127-2170

Practice Phone: 313-316-4236
Practice Fax: 313-262-1927

Directions to “ SHANTAE CARTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.