Healthcare Provider Details

I. General information

NPI: 1871355156
Provider Name (Legal Business Name): GREATER HOPE HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2024
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W BIG BEAVER RD STE 300
TROY MI
48084-4725
US

IV. Provider business mailing address

801 W BIG BEAVER RD STE 300
TROY MI
48084-4725
US

V. Phone/Fax

Practice location:
  • Phone: 800-810-9115
  • Fax:
Mailing address:
  • Phone: 800-810-9115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: CAMILLE MCGUIRE
Title or Position: OWNER
Credential:
Phone: 800-810-9115