Roger Leo Merrill III
Individual provider Active NPI In Home Supportive Care Agency · Eaton Rapids, MI
NPI 1164112199 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1164112199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 3786 Delano Dr
Eaton Rapids, MI 48827-9677 - Phone
- (517) 282-4001
- NPI assigned
- May 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
3786 Delano Dr
Eaton Rapids, MI 48827-9677
Mailing address
3786 Delano Dr
Eaton Rapids, MI 48827-9677
Phone (517) 282-4001
Other names
- Mr. Trace Merrill
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All providers in Eaton Rapids, MI · In Home Supportive Care Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.