Provider Demographics
NPI:1821666405
Name:WEST OAKLAND HOME CARE LLC
Entity Type:Organization
Organization Name:WEST OAKLAND HOME CARE LLC
Other - Org Name:ASSISTING HANDS MILFORD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-377-8300
Mailing Address - Street 1:56849 GRAND RIVER AVE STE 13
Mailing Address - Street 2:
Mailing Address - City:NEW HUDSON
Mailing Address - State:MI
Mailing Address - Zip Code:48165-9564
Mailing Address - Country:US
Mailing Address - Phone:248-377-8300
Mailing Address - Fax:
Practice Address - Street 1:56849 GRAND RIVER AVE STE 13
Practice Address - Street 2:
Practice Address - City:NEW HUDSON
Practice Address - State:MI
Practice Address - Zip Code:48165-9564
Practice Address - Country:US
Practice Address - Phone:248-377-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-11
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care