Organization
GREAT LAKES SENIOR CARE, LLC
Active
Other names
Home Helpers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R VANVLIET (MANAGING PARTNER)
(219) 841-7559
Entity
Organization
Contact information
Practice address
6040 LUTE RD, PORTAGE, IN 46368-5008
(219) 841-7559
(219) 763-4858
Mailing address
6040 LUTE RD, PORTAGE, IN 46368-5008
(219) 841-7559
(219) 763-4858
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
110126101
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010300000 A
—
IN
Enumeration date
10/11/2011
Last updated
10/11/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us