Healthcare Provider Details

I. General information

NPI: 1447187679
Provider Name (Legal Business Name): GREAT CARE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

774 1ST AVE
PONTIAC MI
48340-2813
US

IV. Provider business mailing address

774 1ST AVE
PONTIAC MI
48340-2813
US

V. Phone/Fax

Practice location:
  • Phone: 248-961-3835
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: TIMIKA NORFOLK
Title or Position: CEO
Credential:
Phone: 248-961-3835