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

Country Club Home Care LLC

Organization Home Health Agency · NPI 1871896456

Country Club Home Care LLC is a Home Health Agency in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010
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

6477 Heritage
West Bloomfield, MI 48322-1339
Phone: (866) 596-9111
Fax: (866) 596-9111
Show map & directions

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

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X · Licence 4704245086 (MI)

Record details

NPI number1871896456
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rose Mansel — Owner · (248) 346-1233
NPI enumeratedDecember 21, 2010
Last updated in NPPESDecember 21, 2010
Mailing address2554 S Rochester Rd, Rochester Hills, MI 48307-3817

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