# PURPLE WINGS HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PURPLE WINGS HOME CARE LLC
- **Other names:** PURPLE WINGS HOME CARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952177156
- **Legal business name:** PURPLE WINGS HOME CARE LLC
- **Authorized official:** MS. CRYSTAL L COOK (ADMINISTRATION CONSULTANT)
- **Authorized official phone:** (313) 728-7749

## Contact information

- **Practice address:** 16840 WOODBINE ST, DETROIT, MI 48219-3742
- **Practice address phone:** (313) 728-7749
- **Mailing address:** 16840 WOODBINE ST, DETROIT, MI 48219-3742
- **Mailing address phone:** (313) 728-7749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 11/29/2023
- **Last updated:** 12/29/2023