Provider Demographics
NPI:1124915541
Name:MI AGENCY HOME CARE
Entity type:Organization
Organization Name:MI AGENCY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VITORE
Authorized Official - Middle Name:
Authorized Official - Last Name:VULAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-459-0018
Mailing Address - Street 1:1000 ROSEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-2407
Mailing Address - Country:US
Mailing Address - Phone:810-459-0018
Mailing Address - Fax:
Practice Address - Street 1:1000 ROSEWOOD CT
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-2407
Practice Address - Country:US
Practice Address - Phone:810-459-0018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care