Provider Demographics
NPI:1871157339
Name:CONNECTED CARE SERVICES LLC
Entity type:Organization
Organization Name:CONNECTED CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-823-4069
Mailing Address - Street 1:3600 BULLARD RD
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48353-2012
Mailing Address - Country:US
Mailing Address - Phone:586-823-4069
Mailing Address - Fax:
Practice Address - Street 1:634 HICKORY ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-1651
Practice Address - Country:US
Practice Address - Phone:248-714-6130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1841753407Medicaid