Provider Demographics
NPI:1346665940
Name:TOTAL CARE PLUS
Entity Type:Organization
Organization Name:TOTAL CARE PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEEANN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-858-7963
Mailing Address - Street 1:3899 24TH AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FORT GRATIOT
Mailing Address - State:MI
Mailing Address - Zip Code:48059-4101
Mailing Address - Country:US
Mailing Address - Phone:810-990-8950
Mailing Address - Fax:810-990-8952
Practice Address - Street 1:3899 24TH AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:FORT GRATIOT
Practice Address - State:MI
Practice Address - Zip Code:48059-4101
Practice Address - Country:US
Practice Address - Phone:810-990-8950
Practice Address - Fax:810-990-8952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
251J00000X, 385HR2050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp