Heal Well Detroit LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

HEAL WELL DETROIT LLC

Practice address

22243 Fenkell St
Detroit, MI 48223-1534

Phone

(510) 424-4255

NPI assigned

Nov 11, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Destiny CountrymanNPI 1205667730

Title

Owner

Phone

(510) 424-4255

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Destiny Countryman

  • In Home Supportive Care Agency
  • Detroit, MI
  • NPI 1205667730
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1578433892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22243 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231534",
            "telephone_number": "510-424-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22243 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231534",
            "telephone_number": "510-424-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL WELL DETROIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "COUNTRYMAN",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-424-4255"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Head to Toe Transitions LLC
• Charles Head
• John William Head Jr., DO
• Misty Head, CNM, WHNP-BC
• Camille Headen
• Healing Hands Pharmacy LLC
• Healing House, LLC
• Healing Legacy Home Care Services LLC
• Healing Roots Counseling LLC
• Healing Squad

• Respite Care in Detroit, MI
• Providers in Detroit, MI by specialty
• Respite Care in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.