MEDICARE: OUR TIME HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1851142160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUR TIME HOME CARE

Provider Business Mailing Address
First Line	:	38172 JAMESTOWN DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48312-1638
Country	:	US
Telephone Number	:	586-224-8056
Fax Number	:

Provider Business Practice Location Address
First Line	:	38172 JAMESTOWN DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48312-1638
Country	:	US
Telephone Number	:	586-224-8056
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. RODNEY DEAN THOMPSON SR.
Credential	:
Telephone Number	:	947-239-7657

Provider Enumeration Date	:	03/27/2024
Last Update Date	:	03/27/2024

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Directions to “OUR TIME HOME CARE ” Practice Location

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