Provider Demographics
NPI:1225341241
Name:HOME CARE SERVICES OF NW OAKLAND COUNTY, LLC
Entity Type:Organization
Organization Name:HOME CARE SERVICES OF NW OAKLAND COUNTY, LLC
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:WELSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-629-1330
Mailing Address - Street 1:903 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-1839
Mailing Address - Country:US
Mailing Address - Phone:248-629-1330
Mailing Address - Fax:248-629-1331
Practice Address - Street 1:6803 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-5101
Practice Address - Country:US
Practice Address - Phone:248-707-5010
Practice Address - Fax:248-707-5009
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JRW SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MID2866M253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care