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GREAT LAKES IN-HOME CLINICIAN SERVICES INC NPI 1467696153


NPI Information

NPI: 1467696153
Provider Name: GREAT LAKES IN-HOME CLINICIAN SERVICES INC

Doing Business As: ELITE MEDICAL SERVICES, INC.

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
124 S STATE RD
DAVISON, MI
ZIP 48423
Phone: (810) 664-7040
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GREAT LAKES IN-HOME CLINICIAN SERVICES INC is a nurse practitioner in Davison, MI. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. GREAT LAKES IN-HOME CLINICIAN SERVICES INC NPI is 1467696153. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Elite Medical Services, Inc..

The provider's business location address is:

124 S STATE RD
DAVISON, MI
ZIP 48423-347
Phone: (810) 664-7040
Fax: (810) 245-9080

The provider's authorized official is Kavita Suryavanshi .
The authorized official title is President and has the following contact phone number (810) 245-9400.

The enumeration date for this NPI number is 4/24/2009 and was last updated on 5/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MI1845MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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