COUNTRY CLUB HOME CARE LLC (NPI# 1629219910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629219910 |
Entity Type | Organization |
Organization Name | COUNTRY CLUB HOME CARE LLC |
Practice Address |
4120 W Maple Rd Suite 201 Bloomfield Hills MI 48301-3010 |
Practice Telephone | 2486268500 |
Practice Fax Number | 2485399740 |
Mailing Telephone | 2486268500 |
Mailing Fax Number | 2485399740 |
Enumeration Date | 2009-03-16 |
Last Update Date | 2009-03-16 |
Authorized Official Name | ROSE MARIE MANSEL (PRESIDENT) |
Authorized Official Telephone | 2486268500 |
Authorized Official Credential | R.N. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253Z00000X | In Home Supportive Care | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871896456 | Country Club Home Care LLC | Home Health | 6477 Heritage, West Bloomfield, MI 48322-1339 | 2010-12-21 |
Street Address |
4120 W MAPLE RD SUITE 201 |
City | BLOOMFIELD HILLS |
State | MI |
Zip Code | 48301-3010 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043419062 | Donald F Silver | Psychiatry & Neurology | 4120 W Maple Rd, 105, Bloomfield Hills, MI 48301-3010 | 2007-07-11 |
1801140165 | Erin Nicole Koppelman | Nurse Practitioner | 4120 W Maple Rd, Suite 206, Bloomfield Hills, MI 48301-3010 | 2012-11-07 |
1932382397 | Jennifer Deschryver | Psychologist | 4120 W Maple Rd, Suite 101, Bloomfield Hills, MI 48301-3010 | 2007-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386278992 | Next Level Home Care | Home Health | 3595 W Maple Rd Ste 208, Bloomfield Hills, MI 48301 | 2020-02-24 |
1811352230 | Freda B. Lerman, Lpc, Psyd, Lp, Pllc | Psychologist | 6905 Telegraph Road Suite 100, Bloomfield Hills, MI 48301 | 2015-12-30 |
1790113223 | Kathy Biehl Kelly | Nurse Practitioner | 3355 Morningview Terrace, Bloomfield Hills, MI 48301 | 2013-10-18 |
1538406855 | Dynamic Home Health Care Agency | Case Management | 3744 Lincoln Drive, Bloomfield Hills, MI 48301 | 2013-01-07 |
1366798373 | A3 Medical | Family Medicine | 4050 Maple Road, Suite 101, Bloomfield Township, MI 48301 | 2012-07-27 |
1013299361 | Michael Kovel Samson | Internal Medicine | 4790 Apple Grove Court, Bloomfield Hills, MI 48301 | 2011-09-13 |
1376786152 | Pamela Ann Hibbard Timrek | Speech-Language Pathologist | 3816 Lincoln Drive, Bloomfield Township, MI 48301 | 2009-04-09 |
1164694584 | Alexandra Krot | Internal Medicine | 169 Bassett Place, Bloomfield Hills, MI 48301 | 2008-03-26 |
1619170644 | Latha T Kannan, Md, PC | Internal Medicine | 6715 Birmingham Club Drive, Bloomfield Hills, MI 48301 | 2007-06-07 |
1699802975 | Rebeca Urquiola | Dentist | 4220 Surrey Cross, Bloomfield Hills, MI 48301 | 2007-02-27 |
Find all providers in zip 48301 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316565591 | Ruchi Tandon | In Home Supportive Care | 4596 Wabeek Forest Dr, Bloomfield Hills, MI 48302-1781 | 2020-07-14 |
1013345735 | Justin Robert Laskey | In Home Supportive Care | 1665 Bloomfield Place Dr #422, Bloomfield Hills, MI 48302 | 2013-10-15 |
1053832303 | Absolutely Best Care | In Home Supportive Care | 3541 Ridgeview Ct, Bloomfield Hills, MI 48302-1252 | 2017-06-27 |
1225440654 | Alliance Senior Care, LLC | In Home Supportive Care | 42505 Woodward Ave, Ste. 101, Bloomfield Hills, MI 48304-5146 | 2014-05-20 |
1326469107 | Covenant Home Care Ministries | In Home Supportive Care | 1133 W Long Lake Rd, Suite 150, Bloomfield Hills, MI 48302-1983 | 2013-12-23 |
1871896209 | Comforcare Senior Services, Inc. | In Home Supportive Care | 2510 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302-0241 | 2010-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972104818 | Work By Faith Home Care LLC | In Home Supportive Care | 708 Van Buren St W, Battle Creek, MI 49037-2218 | 2020-11-06 |
1902407067 | Mjp Management LLC | In Home Supportive Care | 1 Comtronics Pl, Jackson, MI 49203-7500 | 2020-11-05 |
1891396115 | Tender Care Homecare Services | In Home Supportive Care | 25331 Lois Ln, Southfield, MI 48075-1040 | 2020-11-03 |
1851991699 | Cacck Enterprise Inc | In Home Supportive Care | 15851 S Us 27 Ste 314, Lansing, MI 48906-1987 | 2020-10-30 |
1194322628 | Albacare LLC | In Home Supportive Care | 2755 Pall Mall Dr, Sterling Heights, MI 48310-5808 | 2020-10-07 |
1821604315 | Essential Reliable Care LLC | In Home Supportive Care | 513 Cherry Orchard Rd, Canton, MI 48188-5272 | 2020-09-20 |
1518573450 | Burd Home Health LLC | In Home Supportive Care | 15001 Kerchezal Ave Unit #2042, Grosse Point Park, MI 48230 | 2020-09-16 |
1174138754 | Aliah Sanusi | In Home Supportive Care | 25900 Greenfield Rd Ste 503, Oak Park, MI 48237-1893 | 2020-09-10 |
1407461353 | Paradise Home Care LLC | In Home Supportive Care | 5315 Discovery Dr Se, Kentwood, MI 49508-6656 | 2020-09-08 |
1437763406 | Kelechi Akubukwe | In Home Supportive Care | 48164 Royal Pointe Dr, Canton, MI 48187-5466 | 2020-09-07 |
Find all providers with the same taxonomy |
City | BLOOMFIELD HILLS |
Zip Code | 48301 |
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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.