Great Lakes Home Help LLC
In Home Supportive Care in Novi, MI. Organization (NPI-2).
NPI number1770413601
StatusActive
Last updated in NPPESMay 21, 2026
Details
- NPI
- 1770413601
- Entity type
- Organization (NPI-2)
- Legal business name
- Great Lakes Home Help LLC
- Organization subpart
- No
- Enumeration date
- May 21, 2026
- Certification date
- May 21, 2026
- Last updated
- May 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
43033 Brookstone DrNovi, MI 48377-2714
Phone 248-770-9926
Mailing address
43033 Brookstone DrNovi, MI 48377-2714
Phone 248-770-9926
Authorized official
Omar Atcho
Owner & Managing Employee
2487709926
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