Provider Demographics
NPI:1245474824
Name:VISITING NURSE SERVICES OF MICHIGAN
Entity type:Organization
Organization Name:VISITING NURSE SERVICES OF MICHIGAN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ELMSLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-496-8640
Mailing Address - Street 1:1515 CAL DR
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-9016
Mailing Address - Country:US
Mailing Address - Phone:810-496-8640
Mailing Address - Fax:
Practice Address - Street 1:5701 BOW POINTE DR
Practice Address - Street 2:STE 105
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-3163
Practice Address - Country:US
Practice Address - Phone:248-922-6850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1308080018Medicare NSC