GREAT LAKES HEALTHCARE RESOURCES, LLC (NPI# 1134313687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134313687 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES HEALTHCARE RESOURCES, LLC |
| Practice Address |
3555b Byron Center Ave Sw Wyoming MI 49519-3259 |
| Practice Telephone | 6162614046 |
| Practice Fax Number | 6162615838 |
| Mailing Telephone | 6162614046 |
| Mailing Fax Number | 6162615838 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |
| Authorized Official Name | MR. CHARLES R. RUSH (PRESIDENT/MEMBER) |
| Authorized Official Telephone | 6162614046 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
3555B BYRON CENTER AVE SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-3259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992184121 | Great Lakes Healthcare Resources-lakeshore LLC | In Home Supportive Care | 3555b Byron Center Ave Sw, Wyoming, MI 49519-3259 | 2015-05-20 |
| 1487033601 | Great Lakes Home Modification LLC | Home Health | 3555b Byron Center Ave Sw, Wyoming, MI 49519-3259 | 2015-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508407933 | Concierge Home Health Company | Home Health | 2355 Health Dr Sw Ste 120, Wyoming, MI 49519-9502 | 2019-10-07 |
| 1720436686 | Delisa Chenault | Home Health | 27 Euclid Ave, Wyoming, OH 45215-4217 | 2016-06-01 |
| 1194140830 | Infinite Homecare | Home Health | 26365 Goodvine Ave, Wyoming, MN 55092-8024 | 2014-03-04 |
| 1669811493 | Brighter Days Home Health Care, LLC | Home Health | 1047 Burns Ave, Wyoming, OH 45215-2795 | 2013-06-14 |
| 1447205331 | Care One Home Health Services, Inc. | Home Health | 2660 44th St Sw, Suite 500, Wyoming, MI 49519-4200 | 2006-05-23 |
| 1487033601 | Great Lakes Home Modification LLC | Home Health | 3555b Byron Center Ave Sw, Wyoming, MI 49519-3259 | 2015-05-20 |
| 1477968550 | Ebenezer Society, LLC | Home Health | 25565 Fairview Ave, Wyoming, MN 55092-8053 | 2014-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104867 | Domestic Life Services LLC | Home Health | 11662 Heyden St, Detroit, MI 48228-1047 | 2020-11-05 |
| 1063013407 | Rosemary's Helping Hands | Home Health | 241 La Grange Ave, Battle Creek, MI 49014-5873 | 2020-11-03 |
| 1174124713 | Noble Home Health Care LLC | Home Health | 451 Hague St, Detroit, MI 48202-2122 | 2020-11-02 |
| 1396345294 | Nbmc Compassionate Care Managed Services (ccms), LLC | Home Health | 705 S 11th St, Saginaw, MI 48601-2104 | 2020-10-29 |
| 1528668811 | Safe Haven Home Health Care L.l.c | Home Health | 3311 Hoover St, Kalamazoo, MI 49008-2693 | 2020-10-27 |
| 1437758059 | Luxury Home Care LLC | Home Health | 6015 Lake Dr Lot 106, Ypsilanti, MI 48197-7016 | 2020-10-23 |
| 1437758463 | D & D Non-medical Home Care Agency LLC | Home Health | 1317 Hotop Ave, Kalamazoo, MI 49048-1824 | 2020-10-21 |
| 1386243376 | Halstead Nursing Services LLC | Home Health | 518 Westbrook, Whitmore Lake, MI 48189-8212 | 2020-10-20 |
| 1477152700 | Caring Hands Home Health and Hospice | Home Health | 1901 W Hobson Ave, Flint, MI 48504-7042 | 2020-10-19 |
| 1700484474 | Katrisha D Thomas | Home Health | 31158 Woodland St Apt 17108, Wixom, MI 48393-2690 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.