Provider Demographics
NPI:1376428458
Name:SELECT CARE LLC
Entity type:Organization
Organization Name:SELECT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-886-8464
Mailing Address - Street 1:16743 CHANDLER PARK DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48224-2074
Mailing Address - Country:US
Mailing Address - Phone:313-886-6464
Mailing Address - Fax:313-453-6195
Practice Address - Street 1:32985 HAMILTON CT STE 120
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3353
Practice Address - Country:US
Practice Address - Phone:586-351-4526
Practice Address - Fax:313-453-6195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health