# VETTED

> 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:** 1306696521
- **Authorized official:** EVAN M SHELLINE (MANAGING MEMBER)
- **Authorized official phone:** (248) 514-8571

## Contact information

- **Practice address:** 2125 BUTTERFIELD DR STE 299, TROY, MI 48084-3441
- **Practice address phone:** (248) 514-8571
- **Mailing address:** 2125 BUTTERFIELD DR STE 299, TROY, MI 48084-3441
- **Mailing address phone:** (248) 514-8571

## Taxonomy

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

## Other

- **Enumeration date:** 03/22/2024
- **Last updated:** 03/22/2024