# BASTIAN HOME CARE LLC

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

## Provider details

- **NPI number:** 1932847407
- **Authorized official:** MEISHA GOODWIN (OWNER/ ADMINISTRATOR)
- **Authorized official phone:** (248) 930-3813

## Contact information

- **Practice address:** 200 E BIG BEAVER RD, TROY, MI 48083-1208
- **Practice address phone:** (866) 994-6547
- **Mailing address:** 3226 CHERRY CREEK LN, STERLING HEIGHTS, MI 48314-1024
- **Mailing address phone:** (248) 930-3813

## Taxonomy

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

## Other

- **Enumeration date:** 05/25/2022
- **Last updated:** 05/25/2022