Provider Demographics
NPI:1881445971
Name:SMC HOME CARE AGENCY INC
Entity type:Organization
Organization Name:SMC HOME CARE AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TATJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPASENOVSKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-504-4446
Mailing Address - Street 1:49212 GRACECHURCH RD
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-1528
Mailing Address - Country:US
Mailing Address - Phone:586-504-4446
Mailing Address - Fax:248-243-1513
Practice Address - Street 1:49212 GRACECHURCH RD
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-1528
Practice Address - Country:US
Practice Address - Phone:586-504-4446
Practice Address - Fax:248-243-1513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health