# GRAND AMERICAN HOME CARE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174704266
- **Authorized official:** MR. AUGUSTINE R DOMINGO JR. (PRESIDENT)
- **Authorized official phone:** (313) 292-3529

## Contact information

- **Practice address:** 21649 GODDARD RD, SUITE B-125, TAYLOR, MI 48180-4299
- **Practice address phone:** (313) 292-3529
- **Practice address fax:** (313) 292-3787
- **Mailing address:** 21649 GODDARD RD, SUITE B-125, TAYLOR, MI 48180-4299
- **Mailing address phone:** (313) 292-3529
- **Mailing address fax:** (313) 292-3787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | MI | Yes |

## Other

- **Enumeration date:** 11/17/2007
- **Last updated:** 11/17/2007