Provider Demographics
NPI:1487528121
Name:KIM CARES PRIVATE DUTY HOME CARE
Entity type:Organization
Organization Name:KIM CARES PRIVATE DUTY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIVATE DUTY CARE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSEL
Authorized Official - Suffix:
Authorized Official - Credentials:CPR, CHHA, CNA
Authorized Official - Phone:248-880-0258
Mailing Address - Street 1:18643 SCHAEFER HWY
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-1755
Mailing Address - Country:US
Mailing Address - Phone:248-688-0576
Mailing Address - Fax:
Practice Address - Street 1:6417 BAUERVIC BLVD
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-2237
Practice Address - Country:US
Practice Address - Phone:248-688-0576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-04
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)