COUNTRY CLUB HOME CARE LLC
NPI 1629219910
In Home Supportive Care in Bloomfield Hills, MI

Q: What is Country Club Home Care LLC's NPI number?

The NPI number for Country Club Home Care LLC is 1629219910. It was assigned to this organization in the NPPES registry on March 16, 2009.

Q: What is Country Club Home Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since March 16, 2009

4120 W MAPLE RD, SUITE 201, BLOOMFIELD HILLS, MI 48301(248) 626-8500(248) 539-9740 Get Directions Write a Review

NPPES record last updated: March 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Country Club Home Care Llc NPPES

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

COUNTRY CLUB HOME CARE LLC (NPI 1629219910) is a healthcare organization registered as an in home supportive care in Bloomfield Hills, Michigan and active in the NPI registry since March 2009. The organization lists Rose Marie Mansel, President, as its authorized official.

NPPES Registry Identity

NPI1629219910

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameCOUNTRY CLUB HOME CARE LLC

Location Address4120 W MAPLE RD, SUITE 201Bloomfield Hills, MI 48301-3010

Mailing Address4120 W Maple Rd, Suite 201Bloomfield Hills, MI 48301-3010 · (248) 626-8500 · Fax (248) 539-9740

Phone(248) 626-8500

Fax(248) 539-9740

Organization SubpartNo

Authorized OfficialRose Marie ManselPresident · (248) 626-8500

Enumeration DateMarch 16, 2009

✔ NPI 1629219910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

4120 W MAPLE RD, Bloomfield Hills, MI 48301

Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ERIN NICOLE KOPPELMAN N.P.

Nurse Practitioner (Acute Care)

4120 W MAPLE RD, SUITE 206
BLOOMFIELD HILLS, MI 48301

Oakland County (248) 672-6107

JENNIFER DESCHRYVER PSY.D.

Psychologist (Clinical)

4120 W MAPLE RD, SUITE 101
BLOOMFIELD HILLS, MI 48301

Oakland County (248) 890-4077

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 Country Club Home Care LLC's NPI number?

The NPI number for Country Club Home Care LLC is 1629219910. It was assigned to this organization in the NPPES registry on March 16, 2009.

Where is Country Club Home Care LLC located?

Country Club Home Care LLC is located at 4120 W Maple Rd Suite 201, Bloomfield Hills, MI 48301. The listed phone number is (248) 626-8500.

What is Country Club Home Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Country Club Home Care LLC was last updated on March 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.