OrganizationActive
Home Clinic PC
NPI 1710202825 · Non-Pharmacy Dispensing Site · Southfield, MI
Provider details
- NPI number
- 1710202825
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Home Clinic PC
- Organization subpart
- Yes
- Authorized official
- Paul Petre, Owner(248) 223-1500
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23999 Northwestern Hwy
Southfield, MI 48075-2578
Phone: (248) 223-1500
Street-level locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Other names (DBA / former)
- Doing business as
- Great Lakes Physicians of Southfield, LLC
Registry dates
- Enumerated
- 2010-03-31
- Last updated
- 2011-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.