Organization
PRISTINE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARAEA TUTSON RN (OWNER)
(248) 595-0322
Entity
Organization
Contact information
Practice address
3200 GREENFIELD RD STE 300, DEARBORN, MI 48120-1805
(248) 595-0322
(248) 595-0322
Mailing address
2640 COLLEGEWOOD ST, YPSILANTI, MI 48197-1745
(248) 595-0322
(248) 595-0322
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215434956
NPI
MI
01
—
1821551425
NPI
MI
Enumeration date
04/10/2019
Last updated
01/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us