Organization
VINCULUM CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIA HUSSAIN (PRESIDENT)
(810) 357-8792
Entity
Organization
Contact information
Practice address
5316 LAKESHORE RD, FORT GRATIOT, MI 48059-3118
(810) 357-8792
Mailing address
5316 LAKESHORE RD, FORT GRATIOT, MI 48059-3118
(810) 357-8792
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/22/2023
Last updated
05/07/2024
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