GREAT LAKES HOME CARE AGENCY LLC
NPI 1568320547
Home Health in Southfield, MI

Active since January 09, 2026
20213 BOARDWALK BLVD, SOUTHFIELD, MI 48075(470) 804-3054 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Great Lakes Home Care Agency Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES HOME CARE AGENCY LLC (NPI 1568320547) is a healthcare organization registered as a home health in Southfield, Michigan and active in the NPI registry since January 2026. The organization lists Troy Mcrae-lahaie, Owner, as its authorized official.

NPPES Registry Identity

NPI1568320547
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameGREAT LAKES HOME CARE AGENCY LLC
Location Address20213 BOARDWALK BLVDSouthfield, MI 48075-1190
Mailing Address20213 Boardwalk BlvdSouthfield, MI 48075-1190 · (470) 804-3054
Organization SubpartNo
Authorized OfficialTroy Mcrae-lahaieOwner · (313) 900-6686
Enumeration DateJanuary 9, 2026
NPPES CertifiedJanuary 9, 2026
✔ NPI 1568320547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
20213 BOARDWALK BLVD, Southfield, MI 48075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Home Care Agency LLC's NPI number?

The NPI number for Great Lakes Home Care Agency LLC is 1568320547. It was assigned to this organization in the NPPES registry on January 9, 2026.

Where is Great Lakes Home Care Agency LLC located?

Great Lakes Home Care Agency LLC is located at 20213 Boardwalk Blvd, Southfield, MI 48075. The listed phone number is (470) 804-3054.

What is Great Lakes Home Care Agency LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Home Care Agency LLC was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.