Great Lakes Comprehensive Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREAT LAKES COMPREHENSIVE CARE, LLC

Practice address

2685 Glenrose St
Auburn Hills, MI 48326-1908

Phone

(419) 297-7057

Fax

(248) 282-0590

NPI assigned

Nov 18, 2012

Last updated

Nov 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Peter Cherniawski, MBA

Title

President

Phone

(419) 297-7057

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353196800000",
    "number": "1275877037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 GLENROSE ST",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483261908",
            "telephone_number": "419-297-7057",
            "fax_number": "248-282-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 GLENROSE ST",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483261908",
            "telephone_number": "419-297-7057",
            "fax_number": "248-282-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES COMPREHENSIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-18",
        "last_updated": "2012-11-18",
        "status": "A",
        "authorized_official_last_name": "CHERNIAWSKI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-297-7057",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Goss, LBSW
• Grace T Gottman
• Vasilia Patricia Graboski, MS,LLP
• Elizabeth Jane Grahn, LMSW
• Kenneth Vernon Grattan, OD
• Great Lakes Regenerative Medicine, PLLC
• Great Lakes Vitality, LLC (Vital Care of Auburn Hills)
• Gregory M Okoniewski PLLC
• Kristyn Marie Gregory, D.O.
• Candace Griffey

• Home Health Agency in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2012; 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.