Provider Demographics
NPI:1912676719
Name:PLEASANT LIFE HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:PLEASANT LIFE HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA/HHA
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:F
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:CERT
Authorized Official - Phone:248-554-7665
Mailing Address - Street 1:20418 LOCHMOOR ST
Mailing Address - Street 2:
Mailing Address - City:HARPER WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48225-1750
Mailing Address - Country:US
Mailing Address - Phone:248-554-7665
Mailing Address - Fax:313-536-8879
Practice Address - Street 1:2785 E GRAND BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48211-2003
Practice Address - Country:US
Practice Address - Phone:313-536-8878
Practice Address - Fax:313-536-8879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Yes253Z00000XAgenciesIn Home Supportive Care