Healthcare Provider Details

I. General information

NPI: 1336902014
Provider Name (Legal Business Name): THE HOME CARE TEAM, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 02/05/2024
Certification Date: 02/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17197 N LAUREL PARK DR STE 555
LIVONIA MI
48152-2686
US

IV. Provider business mailing address

17197 N LAUREL PARK DR STE 555
LIVONIA MI
48152-2686
US

V. Phone/Fax

Practice location:
  • Phone: 734-779-9700
  • Fax: 734-779-9799
Mailing address:
  • Phone: 734-779-9700
  • Fax: 734-779-9799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: RYAN GRISARD
Title or Position: CFO
Credential:
Phone: 703-390-2321