- Enrollment id
- O20040413000255
- Enrollment state
- MI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1437278629
- Multiple npi flag
- N
- Ccn
- 237547
- Associate id
- 3577557545
- Organization name
- OAKLAND HOME CARE, LLC
- Incorporation date
- 2004-02-19
- Incorporation state
- MI
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 7125 ORCHARD LAKE RD
- Address line 2
- STE 222
- City
- WEST BLOOMFIELD
- State
- MI
- Zip code
- 483223616