# GREAT LAKES COMPREHENSIVE CARE, LLC

> 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:** 1275877037
- **Authorized official:** MR. RYAN PETER CHERNIAWSKI MBA (PRESIDENT)
- **Authorized official phone:** (419) 297-7057

## Contact information

- **Practice address:** 2685 GLENROSE ST, AUBURN HILLS, MI 48326-1908
- **Practice address phone:** (419) 297-7057
- **Practice address fax:** (248) 282-0590
- **Mailing address:** 2685 GLENROSE ST, AUBURN HILLS, MI 48326-1908
- **Mailing address phone:** (419) 297-7057
- **Mailing address fax:** (248) 282-0590

## Taxonomy

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

## Other

- **Enumeration date:** 11/18/2012
- **Last updated:** 11/18/2012