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NPI Code Detail

MEDICARE: LUXCARE HOME CARE SERVICES LLC

MEDICARE: LUXCARE HOME CARE SERVICES 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 : 1710810114
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUXCARE HOME CARE SERVICES LLC
Provider Business Mailing Address
First Line : 2222 W GRAND RIVER AVE STE A
Second Line :
City : OKEMOS
State : MI
Zip : 48864-1604
Country : US
Telephone Number : 313-452-4200
Fax Number :
Provider Business Practice Location Address
First Line : 2222 W GRAND RIVER AVE STE A
Second Line :
City : OKEMOS
State : MI
Zip : 48864-1604
Country : US
Telephone Number : 313-452-4200
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. SARETA REESE
Credential :
Telephone Number : 313-452-4200
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “LUXCARE HOME CARE SERVICES LLC ” Practice Location

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