Individual provider · Type 1 NPI

Jerry L. Hearn

Attendant Care Provider · Detroit, MI

NPI number 1073468591 Active

Practice location

12915 Grayfield St # 12915
Detroit, MI 48223-3036

Mailing address

12915 Grayfield St
Detroit, MI 48223-3036

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1073468591

Jerry L. Hearn's National Provider Identifier is 1073468591, issued on Mar 2, 2026. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Detroit, MI. The record was last updated on Mar 2, 2026.