Great Lakes Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREAT LAKES HOME CARE LLC

Practice address

23534 Stonehenge Blvd
Novi, MI 48375-3773

Phone

(248) 615-2085

NPI assigned

Jul 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Lynn Cloyd

Title

MBR

Phone

(248) 615-2085

Specialties & licenses 1

Addresses

Other names 1

• Great Lakes Home Nursing Care LLC Doing business as

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1457515652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483760441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23534 STONEHENGE BLVD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753773",
            "telephone_number": "248-615-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "CLOYD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "248-615-2085",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Home Nursing Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rozalyn Gray
• Shatoya Gray
• Tamra Gray
• Lesley Grayson
• Dana Marie Graziadei
• Great Lakes Home Help LLC
• Jenna Lynn Greco, PA-C
• Peter Greeley
• Allison Michelle Green
• Amy Indenbaum Green, MD

• Home Health Agency in Novi, MI
• Providers in Novi, 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 Feb 4, 2010; 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.