Great Lakes Home Healthcare Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREAT LAKES HOME HEALTHCARE SERVICES, INC

Practice address

28592 Orchard Lake Rd Ste 310
Farmington Hills, MI 48334-2903

Phone

(248) 623-8400

Fax

(248) 623-8448

NPI assigned

Sep 12, 2012

Organization subpart

No

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

Authorized official

Name

Phid Onwuzurike

Title

Administrator

Phone

(313) 779-4741

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356691893. Details of each certification follow.

• CCN 239286 Home health agency · Active · Details

Home health agency certification: CCN 239286

Legal name

GREAT LAKES HOME HEALTHCARE SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 10, 2013

Last certification

Oct 10, 2013

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 5, 2011 in MI

Enrollment address

28592 Orchard Lake Rd
Ste 310
Farmington Hills, MI 48334-2903
HHA Branch

Listed as

Great Lakes Home Healthcare Services, IncCCN 239286 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Oct 10, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Nkechi Onwuzurike, M.D.

  • Pediatric Hematology & Oncology Physician
  • Flint, MI
  • NPI 1518987551

  Corporate Director, Corporate Officer, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Stanislaus Joseph Orowe, M.D.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1144370479

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1356691893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28592 ORCHARD LAKE RD STE 310",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342903",
            "telephone_number": "248-623-8400",
            "fax_number": "248-623-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28592 ORCHARD LAKE RD STE 310",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342903",
            "telephone_number": "248-623-8400",
            "fax_number": "248-623-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES HOME HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "ONWUZURIKE",
        "authorized_official_first_name": "PHID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-779-4741"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Graziano
• Timothy Graziano
• Michelle Grazioli
• Shelby Greaser
• Great Lakes Electrophysiological Testing Services
• Great Lakes Psychiatric Associates, PLLC
• Great Lakes Rehabilitation LLC
• Greater Comfort DME LLC
• Raven Greaves
• Kristen Grebe

• Home Health Agency in Farmington Hills, MI
• Providers in Farmington 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 Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.