Provider Demographics
NPI:1518361401
Name:WEST MICHIGAN HOME CARE, INC
Entity Type:Organization
Organization Name:WEST MICHIGAN HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WORM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:231-920-5340
Mailing Address - Street 1:8417 LOVE RD
Mailing Address - Street 2:
Mailing Address - City:BENZONIA
Mailing Address - State:MI
Mailing Address - Zip Code:49616
Mailing Address - Country:US
Mailing Address - Phone:231-920-5340
Mailing Address - Fax:231-882-9835
Practice Address - Street 1:7953 LOVE RD
Practice Address - Street 2:
Practice Address - City:BENZONIA
Practice Address - State:MI
Practice Address - Zip Code:49616
Practice Address - Country:US
Practice Address - Phone:231-882-9813
Practice Address - Fax:231-882-9835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health