Provider Demographics
NPI:1437278629
Name:OAKLAND HOME CARE, LLC
Entity Type:Organization
Organization Name:OAKLAND HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PULVINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:GREWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-865-9418
Mailing Address - Street 1:7125 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3615
Mailing Address - Country:US
Mailing Address - Phone:248-865-9418
Mailing Address - Fax:248-865-9420
Practice Address - Street 1:7125 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3615
Practice Address - Country:US
Practice Address - Phone:248-865-9418
Practice Address - Fax:248-865-9420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237547Medicare ID - Type Unspecified