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

Medicaid Home Services LLC

Organization In Home Supportive Care Agency · NPI 1194600379

Medicaid Home Services LLC is an In Home Supportive Care Agency in Niles, Michigan. Registered with an NPI since 2025.

In the registry since
2025
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

777 Bryant Ave
Niles, MI 49120-1592
Phone: (248) 520-5750
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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 number1194600379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Oconnor — President · (248) 520-5750
NPI enumeratedAugust 7, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address777 Bryant Ave, Niles, MI 49120-1592

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