Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MIMISFORTRESS CARE LLC
NPI 1194625863
Home Health in Canton, MI

Q: What is Mimisfortress Care LLC's NPI number?

The NPI number for Mimisfortress Care LLC is 1194625863. It was assigned to this organization in the NPPES registry on November 6, 2026.

Q: What is Mimisfortress Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since November 06, 2026

1352 STACY DR, CANTON, MI 48188(734) 447-7699 Get Directions Write a Review

NPPES record added: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mimisfortress Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIMISFORTRESS CARE LLC (NPI 1194625863) is a healthcare organization registered as a home health in Canton, Michigan and active in the NPI registry since November 2026. The organization lists Maryam Olushola Ibrahim-imam, Owner, as its authorized official.

NPPES Registry Identity

NPI1194625863

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameMIMISFORTRESS CARE LLC

Location Address1352 STACY DRCanton, MI 48188-1438

Mailing Address1352 Stacy DrCanton, MI 48188-1438

Phone(734) 447-7699

Organization SubpartNo

Authorized OfficialMaryam Olushola Ibrahim-imamOwner · (734) 447-7699

Enumeration DateNovember 6, 2026

NPPES CertifiedNovember 6, 2026

✔ NPI 1194625863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

1352 STACY DR, Canton, MI 48188

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mimisfortress Care LLC's NPI number?

The NPI number for Mimisfortress Care LLC is 1194625863. It was assigned to this organization in the NPPES registry on November 6, 2026.

Where is Mimisfortress Care LLC located?

Mimisfortress Care LLC is located at 1352 Stacy Dr, Canton, MI 48188. The listed phone number is (734) 447-7699.

What is Mimisfortress Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Mimisfortress Care LLC was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.