# PRISTINE HOME CARE LLC

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

## Provider details

- **NPI number:** 1821551425
- **Authorized official:** MARAEA TUTSON RN (OWNER)
- **Authorized official phone:** (248) 595-0322

## Contact information

- **Practice address:** 3200 GREENFIELD RD STE 300, DEARBORN, MI 48120-1805
- **Practice address phone:** (248) 595-0322
- **Practice address fax:** (248) 595-0322
- **Mailing address:** 2640 COLLEGEWOOD ST, YPSILANTI, MI 48197-1745
- **Mailing address phone:** (248) 595-0322
- **Mailing address fax:** (248) 595-0322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251T00000X | PACE Provider Organization | — | NULL | — |
| 253J00000X | Foster Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 3140N1450X | Pediatric Skilled Nursing Facility | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/10/2019
- **Last updated:** 01/24/2023