MEDICARE: SMC HOME CARE AGENCY 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1881445971
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMC HOME CARE AGENCY INC

Provider Business Mailing Address
First Line	:	49212 GRACECHURCH RD
Second Line	:
City	:	MACOMB
State	:	MI
Zip	:	48044-1528
Country	:	US
Telephone Number	:	586-504-4446
Fax Number	:	248-243-1513

Provider Business Practice Location Address
First Line	:	49212 GRACECHURCH RD
Second Line	:
City	:	MACOMB
State	:	MI
Zip	:	48044-1528
Country	:	US
Telephone Number	:	586-504-4446
Fax Number	:	248-243-1513

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TATJANA SPASENOVSKA
Credential	:
Telephone Number	:	586-504-4446

Provider Enumeration Date	:	03/28/2024
Last Update Date	:	10/25/2024

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