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General NPI Number Information
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NPI Number | 1184219651
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Entity Type | Organization
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Legal Business Name | GREAT HOMECARE, INC
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Dates
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Enumeration Date | 03/05/2021
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 38300 VAN DYKE AVE
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-1123
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Country | US
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Telephone | 917-412-3231
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Fax | 718-228-6774
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Provider Business Mailing Address
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Address Line | 38300 VAN DYKE AVE
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-1123
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Country | US
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Telephone | 917-412-3231
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Fax | 718-228-6774
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ALEKSEY YAKHNIS
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Credential |
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Telephone | 917-412-3231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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