# YOURCOMPANIONELDERLYSERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215779699
- **Authorized official:** MARTEL JOHNSON (CEO)
- **Authorized official phone:** (586) 554-0571

## Contact information

- **Practice address:** 3143 POTOMAC AVE, WARREN, MI 48091-1019
- **Practice address phone:** (586) 554-0571
- **Mailing address:** 3143 POTOMAC AVE, WARREN, MI 48091-1019
- **Mailing address phone:** (586) 554-0571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/07/2024
- **Last updated:** 06/07/2024
