Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Country Club Home Care LLC

Organization In Home Supportive Care Agency · NPI 1629219910

Country Club Home Care LLC is an In Home Supportive Care Agency in Bloomfield Hills, Michigan. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4120 W Maple Rd Ste 201
Bloomfield Hills, MI 48301-3010
Phone: (248) 626-8500
Fax: (248) 539-9740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1629219910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rose Marie Mansel — President · (248) 626-8500
NPI enumeratedMarch 16, 2009
Last updated in NPPESMarch 16, 2009
Mailing address4120 W Maple Rd, Suite 201, Bloomfield Hills, MI 48301-3010

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