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SUPPORTIVE CARE LLC
NPI 1740871763
Licensed Practical Nurse in Warren, MI

Active since February 02, 2021
14823 E 12 MILE RD, WARREN, MI 48088(586) 252-6974 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Supportive Care Llc NPPES

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

SUPPORTIVE CARE LLC (NPI 1740871763) is a healthcare organization registered as a licensed practical nurse in Warren, Michigan and active in the NPI registry since February 2021. The organization lists Brandi Danielle Watters, Owner, as its authorized official.

NPPES Registry Identity

NPI1740871763
Entity TypeOrganization
Primary Taxonomy164W00000X
Legal Business NameSUPPORTIVE CARE LLC
Location Address14823 E 12 MILE RDWarren, MI 48088-4004
Mailing Address14823 E 12 Mile RdWarren, MI 48088-4004 · (586) 252-6974
Phone(586) 252-6974
Organization SubpartNo
Authorized OfficialBrandi Danielle WattersOwner · (586) 252-6974
Enumeration DateFebruary 2, 2021
NPPES CertifiedFebruary 2, 2021
✔ NPI 1740871763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
14823 E 12 MILE RD, Warren, MI 48088
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Supportive Care LLC's NPI number?

The NPI number for Supportive Care LLC is 1740871763. It was assigned to this organization in the NPPES registry on February 2, 2021.

Where is Supportive Care LLC located?

Supportive Care LLC is located at 14823 E 12 Mile Rd, Warren, MI 48088. The listed phone number is (586) 252-6974.

What is Supportive Care LLC's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Supportive Care LLC was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.