Provider Demographics
NPI:1164462305
Name:STANDARD CARE, INC.
Entity Type:Organization
Organization Name:STANDARD CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEMETRIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-401-4548
Mailing Address - Street 1:500 RIVER PLACE DR
Mailing Address - Street 2:5156
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48207-5030
Mailing Address - Country:US
Mailing Address - Phone:800-595-2944
Mailing Address - Fax:313-567-6309
Practice Address - Street 1:500 RIVER PLACE DR.
Practice Address - Street 2:5156
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48207-5048
Practice Address - Country:US
Practice Address - Phone:313-567-1918
Practice Address - Fax:313-567-6309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4695257Medicaid
MI4695257Medicaid