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NPI Code Detail

MEDICARE: NORTH OAKLAND HOME HEALTH CARE, INC.

MEDICARE: NORTH OAKLAND HOME HEALTH 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
1251E00000XHome Health Agency23-7122MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OEO22OTHERMIBCBSM PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902019490
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH OAKLAND HOME HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 7736 ORTONVILLE RD
Second Line : SUITE B
City : CLARKSTON
State : MI
Zip : 48348-4483
Country : US
Telephone Number : 248-625-5865
Fax Number : 248-625-9141
Provider Business Practice Location Address
First Line : 7736 ORTONVILLE RD
Second Line : SUITE B
City : CLARKSTON
State : MI
Zip : 48348-4483
Country : US
Telephone Number : 248-625-5865
Fax Number : 248-625-9141
Authorized Official
Title or Position : VICE-PRESIDENT
Name : MR. LANCE MORGAN BAYLIS
Credential : J.D.
Telephone Number : 248-625-5865
Provider Enumeration Date : 05/08/2007
Last Update Date : 08/22/2020

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Practice Location Address:
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1811962376 — M-15 FAMILY MEDICAL CENTER P C
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1902847510 — DR. LARRY J BAYLIS D.O.
Practice Location Address:
7736 ORTONVILLE RD , STE. A
CLARKSTON, MI
48348-4483
Practice Phone: 248-625-5885
Practice Fax: 248-625-6794
1720029044 — DR. TERI L SHERMETARO D.O.
Practice Location Address:
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Practice Location Address:
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Directions to “NORTH OAKLAND HOME HEALTH CARE, INC. ” Practice Location

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