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PRISTINE HOME CARE LLC NPI 1821551425


NPI Information

NPI: 1821551425
Provider Name: PRISTINE HOME CARE LLC
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
3200 GREENFIELD RD STE 300
DEARBORN, MI
ZIP 48120
Phone: (248) 595-0322
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PRISTINE HOME CARE LLC is a home health in Dearborn, MI. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. PRISTINE HOME CARE LLC NPI is 1821551425. The provider is registered as an organization entity type.

The provider's business location address is:

3200 GREENFIELD RD STE 300
DEARBORN, MI
ZIP 48120-805
Phone: (248) 595-0322
Fax: (248) 595-0322

The provider's authorized official is Maraea Tutson .
The authorized official title is Owner and has the following contact phone number (248) 595-0322.

The enumeration date for this NPI number is 4/10/2019 and was last updated on 1/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174200000XMealsNo
2251B00000XCase ManagementNo
3251J00000XNursing CareNo
4251S00000XCommunity/Behavioral HealthNo
5251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationNo
6253J00000XFoster Care AgencyNo
7253Z00000XIn Home Supportive CareNo
8261QC1500XClinic/CenterCommunity HealthNo
9310400000XAssisted Living FacilityNo
10311ZA0620XCustodial Care FacilityAdult Care HomeNo
113140N1450XSkilled Nursing FacilityNursing Care, PediatricNo
12343900000XNon-emergency Medical Transport (VAN)No
13385H00000XRespite CareNo
14385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
15251E00000XHome HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11821551425OTHERMICHIGANNPI
21215434956OTHERMICHIGANNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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