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NPI Code Detail

MEDICARE: CONCORD HOMECARE LLC

MEDICARE: CONCORD HOMECARE 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1487524880
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONCORD HOMECARE LLC
Provider Business Mailing Address
First Line : 120 N WASHINGTON SQ STE 300
Second Line :
City : LANSING
State : MI
Zip : 48933-1658
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 120 N WASHINGTON SQ STE 300
Second Line :
City : LANSING
State : MI
Zip : 48933-1658
Country : US
Telephone Number : 517-370-2273
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CORWIN COOPER
Credential :
Telephone Number : 517-370-2273
Provider Enumeration Date : 11/10/2025
Last Update Date : 11/10/2025

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Directions to “CONCORD HOMECARE LLC ” Practice Location

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