Provider Demographics
NPI:1457410714
Name:VISITING NURSE SERVICES OF MICHIGAN
Entity Type:Organization
Organization Name:VISITING NURSE SERVICES OF MICHIGAN
Other - Org Name:MCLAREN VISITING NURSE & HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ELMSLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-496-8601
Mailing Address - Street 1:1515 CAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-9012
Mailing Address - Country:US
Mailing Address - Phone:810-496-8640
Mailing Address - Fax:810-496-8685
Practice Address - Street 1:129 HALL ROAD
Practice Address - Street 2:STE 200
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-1151
Practice Address - Country:US
Practice Address - Phone:586-323-6290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1759029Medicaid
MI0E044OtherOTHER
MIP51710OtherOTHER