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General NPI Number Information
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NPI Number | 1396631156
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Entity Type | Organization
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Legal Business Name | COMPLETE HOMECARE MICHIGAN LLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 220 W CONGRESS ST FL 2
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City | DETROIT
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State | MI
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Zip | 48226-3289
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Country | US
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Telephone | 917-847-0810
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 N FRONT ST STE 302
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City | HARRISBURG
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State | PA
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Zip | 17110-1086
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Country | US
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Telephone | 917-847-0810
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VIKRAM KAUL
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Credential |
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Telephone | 917-847-0810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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