Great Lake Home Care L L C

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREAT LAKE HOME CARE L L C

Practice address

30800 Telegraph Rd Ste 2815
Bingham Farms, MI 48025-4544

Phone

(313) 537-5848

Fax

(248) 987-6919

NPI assigned

Jul 18, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Ruby Dale

Title

Owner

Phone

(313) 537-5848

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1952565970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 W 12 MILE RD",
            "address_2": "STE D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762116",
            "telephone_number": "313-537-5848",
            "fax_number": "248-987-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD STE 2815",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254544",
            "telephone_number": "313-537-5848",
            "fax_number": "248-987-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKE HOME CARE L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-537-5848",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martina Graham
• Sherita Denise Grant
• Christina Grawburg
• Dianna Gray
• Marcus Lamar Grayson
• Great Lakes Pediatric Gi Clinic PLLC
• Dionna M Green
• Ruphene Green
• Maia Olivia Greenway
• Devin Greer-Travis

• Home Health Agency in Bingham Farms, MI
• Providers in Bingham Farms, 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 May 18, 2022; 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.