MEDICARE: OAKLAND HOME CARE, LLC

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	:	1437278629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAKLAND HOME CARE, LLC

Provider Business Mailing Address
First Line	:	7125 ORCHARD LAKE RD
Second Line	:	SUITE 201
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3615
Country	:	US
Telephone Number	:	248-865-9418
Fax Number	:	248-865-9420

Provider Business Practice Location Address
First Line	:	7125 ORCHARD LAKE RD
Second Line	:	SUITE 201
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3615
Country	:	US
Telephone Number	:	248-865-9418
Fax Number	:	248-865-9420

Authorized Official
Title or Position	:	OWNER
Name	:	MS. PULVINDER GREWAL
Credential	:
Telephone Number	:	248-865-9418

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	04/29/2015

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