Provider Demographics
NPI:1821498627
Name:HOME CARE SERVICES OF SW OAKLAND COUNTY, LLC
Entity Type:Organization
Organization Name:HOME CARE SERVICES OF SW OAKLAND COUNTY, LLC
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:BOSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-733-3101
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48347-0191
Mailing Address - Country:US
Mailing Address - Phone:248-733-3101
Mailing Address - Fax:248-795-2972
Practice Address - Street 1:903 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-1839
Practice Address - Country:US
Practice Address - Phone:248-629-1330
Practice Address - Fax:248-629-1331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-28
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care