Provider Demographics
NPI:1861360604
Name:PETERS HOME CARE LLC
Entity type:Organization
Organization Name:PETERS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:TELLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-556-2700
Mailing Address - Street 1:29244 OAK POINT DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-2773
Mailing Address - Country:US
Mailing Address - Phone:586-556-2700
Mailing Address - Fax:586-556-2700
Practice Address - Street 1:29244 OAK POINT DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-2773
Practice Address - Country:US
Practice Address - Phone:586-556-2700
Practice Address - Fax:586-556-2700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health