Provider Demographics
NPI:1891351938
Name:PRO CARE HEALTH SOLUTIONS, INC
Entity Type:Organization
Organization Name:PRO CARE HEALTH SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:SHOUNIA
Authorized Official - Suffix:
Authorized Official - Credentials:LLBSW
Authorized Official - Phone:248-453-7247
Mailing Address - Street 1:24725 W 12 MILE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-8344
Mailing Address - Country:US
Mailing Address - Phone:248-453-7247
Mailing Address - Fax:248-502-3234
Practice Address - Street 1:24725 W 12 MILE RD STE 202
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-8344
Practice Address - Country:US
Practice Address - Phone:248-453-7247
Practice Address - Fax:248-502-3234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-14
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health