GREAT LAKE HOME CARE L L C (NPI# 1952565970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952565970 |
| Entity Type | Organization |
| Organization Name | GREAT LAKE HOME CARE L L C |
| Practice Address |
17070 W. 12 Mile Road. Suite-d Southfield MI 48076 |
| Mailing Address |
17070 W 12 Mile Rd Ste D Southfield MI 48076-2116 |
| Practice Telephone | 3135375848 |
| Practice Fax Number | 2489876919 |
| Mailing Telephone | 3135375848 |
| Mailing Fax Number | 2489876919 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2016-03-03 |
| Authorized Official Name | MRS. AWATIF JAMIL (PRESIDENT) |
| Authorized Official Telephone | 3135375848 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
17070 W. 12 MILE ROAD. SUITE-D |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424316 | Acute Residential Care LLC | Home Health | 17800 Northland Park Ct Ste 103, Southfield, MI 48075-4304 | 2020-10-12 |
| 1396355533 | Front Line Home Health Care Inc | Home Health | 26645 W 12 Mile Rd Ste 210, Southfield, MI 48034-7812 | 2020-08-03 |
| 1669080669 | Anjela's Helping Hands | Home Health | 22145 Maplewood Dr, Southfield, MI 48033-5945 | 2020-07-16 |
| 1619599768 | Evangelical Home Care,llc | Home Health | 23800 W 10 Mile Rd Ste 108, Southfield, MI 48033-3194 | 2020-05-12 |
| 1306467493 | A-four Inc | Home Health | 25800 W 11 Mile Rd, Southfield, MI 48034-6196 | 2020-04-30 |
| 1063048445 | Eden At Home LLC | Home Health | 29185 Tiffany Dr W, Southfield, MI 48034-4545 | 2020-03-18 |
| 1689208605 | Geppetto's Heart | Home Health | 24555 Southfield Rd Ste 100, Southfield, MI 48075-2788 | 2020-02-28 |
| 1144866500 | Tbiy LLC | Home Health | 25172 Maplebrooke Dr, Southfield, MI 48033-5282 | 2019-11-20 |
| 1689227803 | Omega Home Healthcare Services | Home Health | 24901 Northwestern Hwy Ste 314c, Southfield, MI 48075-2207 | 2019-07-17 |
| 1114588308 | Vital Home Health LLC | Home Health | 24001 Southfield Rd Ste 203c, Southfield, MI 48075-2847 | 2019-06-27 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.