COUNTRY CLUB HOME CARE LLC


Address: 4120 W Maple Rd, Suite 201, Bloomfield Hills, MI 48301-3010
Phone: 2486268500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253Z00000X In Home Supportive Care Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871896456 Country Club Home Care LLC Home Health 6477 Heritage, West Bloomfield, MI 48322-1339 2010-12-21

Office Location

Street Address 4120 W MAPLE RD
SUITE 201
City BLOOMFIELD HILLS
State MI
Zip Code 48301-3010

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City BLOOMFIELD HILLS
Zip Code 48301

Improve Information

Please comment or provide details below to improve the information on COUNTRY CLUB HOME CARE LLC.

Dataset Information

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.

Trending Searches