Provider Demographics
NPI:1942019237
Name:UPLIFT PASSIONATE CARE LLC
Entity type:Organization
Organization Name:UPLIFT PASSIONATE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAKEYSHA
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:WISDOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-403-2260
Mailing Address - Street 1:23440 LITTLE RAPIDS CT
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-3294
Mailing Address - Country:US
Mailing Address - Phone:248-403-2260
Mailing Address - Fax:313-567-2852
Practice Address - Street 1:23440 LITTLE RAPIDS CT
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-3294
Practice Address - Country:US
Practice Address - Phone:248-403-2260
Practice Address - Fax:313-567-2852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care