MEDICARE: LANDOVA 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
1	385H00000X	Respite Care
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1821927526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LANDOVA HOMECARE LLC

Provider Business Mailing Address
First Line	:	6292 TIMBERWOOD S
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-2005
Country	:	US
Telephone Number	:	248-712-1868
Fax Number	:

Provider Business Practice Location Address
First Line	:	6292 TIMBERWOOD S
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-2005
Country	:	US
Telephone Number	:	248-712-1868
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTOPHER KAJY
Credential	:
Telephone Number	:	248-712-1868

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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