Healthcare Provider Details

I. General information

NPI: 1235042532
Provider Name (Legal Business Name): CHR HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
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

8411 GILMAN ST HOME
WESTLAND MI
48185-1863
US

V. Phone/Fax

Practice location:
  • Phone: 734-926-6688
  • Fax:
Mailing address:
  • Phone: 734-926-6688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: VERONIQUE VIRGINIE TSOUNGUI
Title or Position: OWNER
Credential:
Phone: 734-926-6688