Provider Demographics
NPI:1710074968
Name:EPOCH LLC
Entity Type:Organization
Organization Name:EPOCH LLC
Other - Org Name:ADVENT HOME II
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:313-259-7656
Mailing Address - Street 1:6319 GLASTONBURY ST
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-2837
Mailing Address - Country:US
Mailing Address - Phone:734-261-8397
Mailing Address - Fax:734-422-2499
Practice Address - Street 1:6319 GLASTONBURY ST
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-2837
Practice Address - Country:US
Practice Address - Phone:734-261-8397
Practice Address - Fax:734-422-2499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home