Healthcare Provider Details

I. General information

NPI: 1215875265
Provider Name (Legal Business Name): THE CONNIE HOMECARE NETWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 W GRAND RIVER AVE STE 9
OKEMOS MI
48864
US

IV. Provider business mailing address

755 W BIG BEAVER RD STE 2020
TROY MI
48084-4925
US

V. Phone/Fax

Practice location:
  • Phone: 917-626-2172
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHANY KAPLAN
Title or Position: CEO
Credential:
Phone: 917-626-2172