MEDICARE: PURPOSE HOME HEALTH CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1295985109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURPOSE HOME HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	2050 WASHTENAW RD
Second Line	:	WEST OFFICE STE
City	:	YPSILANTI
State	:	MI
Zip	:	48197-1706
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2050 WASHTENAW RD
Second Line	:	WEST OFFICE STE
City	:	YPSILANTI
State	:	MI
Zip	:	48197-1706
Country	:	US
Telephone Number	:	313-218-9918
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NICOLE LANCIT
Credential	:
Telephone Number	:	313-218-9918

Provider Enumeration Date	:	09/27/2008
Last Update Date	:	09/27/2008

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