Healthcare Provider Details

I. General information

NPI: 1134080443
Provider Name (Legal Business Name): OHC OF SE MICHIGAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14930 LAPLAISANCE RD STE 115
MONROE MI
48161-3871
US

IV. Provider business mailing address

14930 LAPLAISANCE RD STE 115
MONROE MI
48161-3871
US

V. Phone/Fax

Practice location:
  • Phone: 419-873-6000
  • Fax:
Mailing address:
  • Phone: 419-873-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSHUA A ADAMS
Title or Position: CEO
Credential:
Phone: 419-843-4422