Healthcare Provider Details

I. General information

NPI: 1437099595
Provider Name (Legal Business Name): GREATHOUSE HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18121 E 8 MILE RD STE 305
EASTPOINTE MI
48021-3257
US

IV. Provider business mailing address

18121 E 8 MILE RD STE 305
EASTPOINTE MI
48021-3257
US

V. Phone/Fax

Practice location:
  • Phone: 586-350-0305
  • Fax:
Mailing address:
  • Phone: 586-350-0305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: GWENDOLYN GREATHOUSE
Title or Position: OWNER
Credential:
Phone: 313-717-6633