Provider Demographics
NPI:1184219651
Name:GREAT HOMECARE, INC
Entity Type:Organization
Organization Name:GREAT HOMECARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GS
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-703-6550
Mailing Address - Street 1:5974 AUTUMN CREST DR SE
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49512-9379
Mailing Address - Country:US
Mailing Address - Phone:517-703-6550
Mailing Address - Fax:
Practice Address - Street 1:5974 AUTUMN CREST DR SE
Practice Address - Street 2:
Practice Address - City:KENTWOOD
Practice Address - State:MI
Practice Address - Zip Code:49512-9379
Practice Address - Country:US
Practice Address - Phone:517-703-6550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care