Provider Demographics
NPI:1083710248
Name:MORC HOME CARE INC.
Entity Type:Organization
Organization Name:MORC HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-263-8954
Mailing Address - Street 1:16200 19 MILE ROAD
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-0070
Mailing Address - Country:US
Mailing Address - Phone:586-263-8953
Mailing Address - Fax:586-228-7029
Practice Address - Street 1:16200 19 MILE ROAD
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-0070
Practice Address - Country:US
Practice Address - Phone:586-263-8953
Practice Address - Fax:586-228-7029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4919190Medicaid