Organization Active NPI

Shorelight Home Care LLC

  • In Home Supportive Care Agency
  • Carleton, MI
National Provider Identifier
1669301099
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHORELIGHT HOME CARE LLC
Practice address
12000 Oxford St
Carleton, MI 48117-9108
Phone
(734) 363-8071
NPI assigned
May 13, 2026
Last updated
Jun 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Destinee Caballero, CNA
Title
Owner, Care Coordinator
Phone
(734) 344-8035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

12000 Oxford St
Carleton, MI 48117-9108

Mailing address

12000 Oxford St
Carleton, MI 48117-9108
Phone (734) 344-8035

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1669301099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 OXFORD ST",
            "city": "CARLETON",
            "state": "MI",
            "postal_code": "481179108",
            "telephone_number": "734-344-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 OXFORD ST",
            "city": "CARLETON",
            "state": "MI",
            "postal_code": "481179108",
            "telephone_number": "734-363-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELIGHT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "DESTINEE",
        "authorized_official_title_or_position": "OWNER, CARE COORDINATOR",
        "authorized_official_telephone_number": "734-344-8035",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carleton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.