HEAL WELL DETROIT LLC NPI 1578433892

NPI Information

  • NPI: 1578433892
  • Provider Name: HEAL WELL DETROIT LLC
  • Classification: Respite Care - 385H00000X
  • Entity Type: Organization
  • Address: 22243 FENKELL ST
    DETROIT, MI
    ZIP 48223
  • Phone: (510) 424-4255

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NPI Details

HEAL WELL DETROIT LLC is a respite care in Detroit, MI. HEAL WELL DETROIT LLC NPI is 1578433892. The provider is registered as an organization entity type.

The provider's business location address is:

22243 FENKELL ST
DETROIT, MI
ZIP 48223-534
Phone: (510) 424-4255

The provider's authorized official is Destiny Countryman .
The authorized official title is Owner and has the following contact phone number (510) 424-4255.

The enumeration date for this NPI number is 11/11/2025 and was last updated on 11/11/2025.

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
1251C00000XDay Training, Developmentally Disabled ServicesNo
2251E00000XHome HealthNo
3385H00000XRespite CareYes

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: 11/21/2025

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