MEDICARE: GOOD CARE HOME 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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1528636230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD CARE HOME CARE INC

Provider Business Mailing Address
First Line	:	5807 WHITEFIELD ST
Second Line	:
City	:	DEARBORN HTS
State	:	MI
Zip	:	48127-4812
Country	:	US
Telephone Number	:	313-673-5672
Fax Number	:

Provider Business Practice Location Address
First Line	:	5807 WHITEFIELD ST
Second Line	:
City	:	DEARBORN HTS
State	:	MI
Zip	:	48127-4812
Country	:	US
Telephone Number	:	313-673-5672
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANNA BAKKOUR
Credential	:
Telephone Number	:	313-673-5672

Provider Enumeration Date	:	06/17/2021
Last Update Date	:	06/17/2021

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Directions to “GOOD CARE HOME CARE INC ” Practice Location

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