Provider Demographics
NPI:1942969027
Name:GILMORE ADULT CARE LLC
Entity Type:Organization
Organization Name:GILMORE ADULT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADULT CARE WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GILMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-784-7569
Mailing Address - Street 1:21237 BRIERSTONE ST
Mailing Address - Street 2:
Mailing Address - City:HARPER WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48225-2306
Mailing Address - Country:US
Mailing Address - Phone:313-784-7569
Mailing Address - Fax:
Practice Address - Street 1:21237 BRIERSTONE ST
Practice Address - Street 2:
Practice Address - City:HARPER WOODS
Practice Address - State:MI
Practice Address - Zip Code:48225-2306
Practice Address - Country:US
Practice Address - Phone:313-784-7569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty