Provider Demographics
NPI:1174337133
Name:SCL HOME CARE LLC
Entity type:Organization
Organization Name:SCL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AVIANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASMARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-596-8616
Mailing Address - Street 1:16248 ANGORA LN
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-3932
Mailing Address - Country:US
Mailing Address - Phone:586-596-8616
Mailing Address - Fax:
Practice Address - Street 1:16248 ANGORA LN
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-3932
Practice Address - Country:US
Practice Address - Phone:586-596-8616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-01
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI023456Medicaid
MI123456OtherMEDICARE