Great Lakes Home Health Services, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GREAT LAKES HOME HEALTH SERVICES, INC.

Practice address

900 Cooper Street
Jackson, MI 49202-3398

Phone

(517) 780-9500

Fax

(517) 780-9700

NPI assigned

Dec 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. William L Deary III

Title

Ceo

Phone

(517) 780-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• State of Connecticut

  dba Southwest Connecticut Mental Health System

  • Psychiatric Hospital
  • Bridgeport, CT
  • NPI 1720013360

  Member Of

  NPD member

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1346225661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COOPER STREET",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023398",
            "telephone_number": "517-780-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOPER STREET",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023398",
            "telephone_number": "517-780-9500",
            "fax_number": "517-780-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "DEARY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "517-780-9500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "874400145",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brytney Merrie Graves
• Sandra L Gray, PHARMACIST
• Theresa Ann Gray, RN
• Great Lakes Brain and Spine Institute PC
• Great Lakes Comprehensive Psychological Services
• Great Lakes Home Health Services, Inc. (Elara Caring)
• Great Lakes Home Health Services, Inc. (Elara Caring)
• Great Lakes Home Health Services, Inc. (Elara Caring Palliative Care)
• Great Lakes Medical Equipment, Inc.
• Great Lakes Senior Care, LLC (Elara Caring)

• Durable Medical Equipment & Medical Supplies in Jackson, MI
• Providers in Jackson, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.