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NPI 1871470195

NPI 1871470195 : COTTAGE HOME CARE MI, LLC : DETROIT, MI

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General NPI Number Information
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    NPI Number           |    1871470195
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    Entity Type          |    Organization 
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    Legal Business Name  |    COTTAGE HOME CARE MI, LLC 
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Dates
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    Enumeration Date     |    08/19/2025
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    Last Update Date     |    08/19/2025
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Provider Practice Location Address
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    Address Line         |    400 RENAISSANCE CTR STE 2600 
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48243-1599
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    Country              |    US
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    Telephone            |    516-367-2266
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10321 98TH ST 
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    City                 |    OZONE PARK
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    State                |    NY
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    Zip                  |    11417-1644
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    Country              |    US
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    Telephone            |    516-367-2266
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ALLEN  STEIN 
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    Credential           |    
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    Telephone            |    516-367-2266
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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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