Great Lakes Care At Home
In Home Supportive Care in Troy, MI. Organization (NPI-2).
NPI number1023975372
StatusActive
Last updated in NPPESJan 8, 2026
Details
- NPI
- 1023975372
- Entity type
- Organization (NPI-2)
- Legal business name
- Great Lakes Care At Home
- Organization subpart
- No
- Enumeration date
- Jan 8, 2026
- Certification date
- Jan 8, 2026
- Last updated
- Jan 8, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
3561 Euclid DrTroy, MI 48083-5708
Phone 586-804-4247
Mailing address
3561 Euclid DrTroy, MI 48083-5708
Authorized official
Sunny Jaigirdar
Ceo
5868044247
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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