Provider Demographics
NPI:1558840710
Name:TAYLOR CARE LLC
Entity Type:Organization
Organization Name:TAYLOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMIKA
Authorized Official - Middle Name:LATOYA
Authorized Official - Last Name:ORR KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:313-221-4624
Mailing Address - Street 1:7441 BISON ST
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-2369
Mailing Address - Country:US
Mailing Address - Phone:313-221-4624
Mailing Address - Fax:
Practice Address - Street 1:7441 BISON ST
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-2369
Practice Address - Country:US
Practice Address - Phone:313-221-4624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care