# WEST MICHIGAN HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Michigan Home Care LLC, Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811672066
- **Authorized official:** KRISHNA B BISTA (MANAGER)
- **Authorized official phone:** (616) 219-5543

## Contact information

- **Practice address:** 3107 BLUE SPRUCE CT SE, KENTWOOD, MI 49512-2872
- **Practice address phone:** (616) 219-5543
- **Practice address fax:** (616) 469-1246
- **Mailing address:** 3167 BLAIRVIEW PKWY SE APT 201, GRAND RAPIDS, MI 49512-1798
- **Mailing address phone:** (616) 219-5543
- **Mailing address fax:** (616) 469-1246

## Taxonomy

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

## Other

- **Enumeration date:** 06/15/2023
- **Last updated:** 01/10/2024