Great Lakes Home Care Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREAT LAKES HOME CARE AGENCY LLC

Practice address

20213 Boardwalk Blvd
Southfield, MI 48075-1190

Phone

(470) 804-3054

NPI assigned

Jan 9, 2026

Organization subpart

No

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

Authorized official

Name

Troy McRae-Lahaie

Title

Owner

Phone

(313) 900-6686

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1568320547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20213 BOARDWALK BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751190",
            "telephone_number": "470-804-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20213 BOARDWALK BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751190",
            "telephone_number": "470-804-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "MCRAE-LAHAIE",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-900-6686"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Great Lakes Foot & Ankle Institute PLLC
• Great Lakes Healthcare Services Inc
• Great Lakes Pain and Injury Center
• Great Lakes Physicians of Southfield,PLLC
• Great Lakes Research Institute LLC
• Great Lakes Surgical Center Anesthesia, PLC
• Great Lakes Surgical Center LLC

• Home Health Agency in Southfield, MI
• Providers in Southfield, 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 Jan 9, 2026; 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.