Great Lakes Carewell LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GREAT LAKES CAREWELL LLC

Doing business as

Sarahcare of Lakeside

Practice address

13425 19 Mile Rd
Sterling Heights, MI 48313-1990

Phone

(616) 780-6037

NPI assigned

May 29, 2023

Last updated

Aug 9, 2023By 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

Ravikumar ShuklaNPI 1356677835

Title

Owner

Phone

(616) 780-6037

Specialties & licenses 1

Addresses

Other names 1

• Sarahcare of Lakeside Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravikumar K Shukla, RPT

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1356677835
  NPD Authorized official

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1306539267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 MASON VIEW DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259538",
            "telephone_number": "616-780-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 19 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131990",
            "telephone_number": "616-780-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES CAREWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "RAVIKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-780-6037"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarahcare of Lakeside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greg Grant
• Joan Carol Grawburg, BS PT
• Kelley Lynne Gray-Allen, P.A.
• Laura Gray
• Great Homecare, Inc
• Great Lakes Chiropractic, P.C.
• Great Lakes Orthopedic Physical Therapy, Inc. (Global Physical Therapy)
• Great Lakes Pediatric Cardiology PLLC (Great Lakes Pediatric Cardiology)
• Great Lakes Pediatric Cardiology, PLLC (Great Lakes Pediatric Cardiology)
• Great Lakes Sleep Medicine Institute PLC

• Adult Day Care Clinic/Center in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Adult Day Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.