Tuckerville.LLC
Tuckerville.LLC is a healthcare organization registered as Home Health Agency in Wayne, MI, holding Type 2 (organization) NPI 1063870293 since 2016. The authorized official on file is Fartima Tucker, Ceo/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063870293 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Tuckerville.LLC |
| Practice address | 35230 E MICHIGAN AVE, Wayne, MI, 48184 |
| Phone | 3133125706 |
| Enumeration date | 2016-02-02 |
| Last updated in NPPES | 2023-03-24 |
Authorized official
| Name | Fartima Tucker |
|---|---|
| Title | Ceo/Owner |
| Phone | 3133037423 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker | Secondary | — | — |
| 251K00000X | Public Health or Welfare Agency | Secondary | E79564 | MI |
| 253Z00000X | In Home Supportive Care Agency | Secondary | E79564 | MI |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Secondary | — | — |
| 302R00000X | Health Maintenance Organization | Secondary | E79564 | MI |
| 251E00000X | Home Health Agency | Primary | E79564 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8025368 | Medicaid | MI | — |
| 1437626454 | Other | MI | TUCKERVILLE, LLC |
| 1396097457 | Other | MI | NPI |
Copy-ready billing details
Provider: Tuckerville.LLC NPI: 1063870293 Taxonomy: 251E00000X (Home Health Agency) Address: 35230 E MICHIGAN AVE, Wayne, MI, 48184
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396097457 | Fartima Tucker | Individual | Clinical Social Worker | Wayne, MI |
| 1437626454 | Tuckerville | Organization | Clinical Social Worker | Wayne, MI |
| 1710505953 | Tuckerville Transitions | Organization | Clinical Social Worker | Wayne, MI |
| 1740853951 | Tuckerville Transitions Org | Organization | Clinical Social Worker | Wayne, MI |
Verify this record
Cross-check NPI 1063870293 against the authoritative CMS record: view Tuckerville.LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Tuckerville.LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2023-03-24.