Provider Demographics
NPI:1427946300
Name:ELDER CARE PLACE LLC
Entity type:Organization
Organization Name:ELDER CARE PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RODICA
Authorized Official - Middle Name:
Authorized Official - Last Name:TIMOFICIUC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-688-4616
Mailing Address - Street 1:28245 KING RD
Mailing Address - Street 2:
Mailing Address - City:ROMULUS
Mailing Address - State:MI
Mailing Address - Zip Code:48174-9446
Mailing Address - Country:US
Mailing Address - Phone:248-688-4616
Mailing Address - Fax:
Practice Address - Street 1:28245 KING RD
Practice Address - Street 2:
Practice Address - City:ROMULUS
Practice Address - State:MI
Practice Address - Zip Code:48174-9446
Practice Address - Country:US
Practice Address - Phone:248-688-4616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home