# BAYSIDE HOME CARE, LLC

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

## Provider details

- **NPI number:** 1497153001
- **Authorized official:** MR. GARY VOGEL (OWNER)
- **Authorized official phone:** (989) 941-0555

## Contact information

- **Practice address:** 5103 EASTMAN AVE, \#100, MIDLAND, MI 48640-6785
- **Practice address phone:** (989) 941-0555
- **Practice address fax:** (989) 941-0463
- **Mailing address:** 5103 EASTMAN AVE, \#100, MIDLAND, MI 48640-6785
- **Mailing address phone:** (989) 941-0555
- **Mailing address fax:** (989) 941-0463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/12/2014
- **Last updated:** 12/12/2014