Healthcare Provider Details
I. General information
NPI: 1255591046
Provider Name (Legal Business Name): HEALTH CARE OPTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/15/2008
Last Update Date: 06/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
331 MCKINLEY AVE
GROSSE POINTE FARMS MI
48236-3420
US
IV. Provider business mailing address
331 MCKINLEY AVE
GROSSE POINTE FARMS MI
48236-3420
US
V. Phone/Fax
- Phone: 313-673-4604
- Fax: 313-882-6317
- Phone: 313-673-4604
- Fax: 313-882-6317
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | D14696 |
| License Number State | MI |
VIII. Authorized Official
Name: MRS.
TRACEY
LYNN
SCOTT-EVANS
Title or Position: OWNER, CEO
Credential: RN, BSN
Phone: 313-673-4604