Healthcare Provider Details

I. General information

NPI: 1417895707
Provider Name (Legal Business Name): OUR FAMILY HOME CARE SERVICES OF MICHIGAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 W GRAND RIVER AVE STE A
OKEMOS MI
48864-1604
US

IV. Provider business mailing address

2222 W GRAND RIVER AVE STE A
OKEMOS MI
48864-1604
US

V. Phone/Fax

Practice location:
  • Phone: 248-270-7752
  • Fax: 248-270-7752
Mailing address:
  • Phone: 248-270-7752
  • Fax: 248-270-7752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARK MARKLAND
Title or Position: CEO
Credential:
Phone: 248-270-7752