1679675730 NPI number — GOROVETS HOME HEALTHCARE INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679675730 NPI number — GOROVETS HOME HEALTHCARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GOROVETS HOME HEALTHCARE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ACCESSIBLE HOME HEALTH OAKLAND
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679675730
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
32969 HAMILTON CT
Provider Second Line Business Mailing Address:
SUITE 124
Provider Business Mailing Address City Name:
FARMINGTON HILLS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48334-3351
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-498-0700
Provider Business Mailing Address Fax Number:
248-489-0715

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
32969 HAMILTON CT
Provider Second Line Business Practice Location Address:
SUITE 124
Provider Business Practice Location Address City Name:
FARMINGTON HILLS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48334-3351
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-498-0700
Provider Business Practice Location Address Fax Number:
248-489-0715
Provider Enumeration Date:
09/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GOROVETS
Authorized Official First Name:
IRENA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
248-498-0700

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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