Active NPI
Corpore Sano Home Health Care Inc.
- Community Based Hospice Care Agency
- Plymouth, MI
National Provider Identifier
1003472598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CORPORE SANO HOME HEALTH CARE INC.
- Practice address
- 39475 Ann Arbor Rd E
Plymouth, MI 48170-4524 - Phone
- (734) 454-3488
- Fax
- (734) 454-3599
- NPI assigned
- May 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mihaela Brazdau
- Title
- Owner
- Phone
- (734) 454-3488
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
39475 Ann Arbor Rd E
Plymouth, MI 48170-4524
Mailing address
39475 Ann Arbor Rd E
Plymouth, MI 48170-4524
Phone (734) 454-3488
Other names 1
- Corpore Sano Palliative Care
National Provider Directory
National Provider DirectoryLocations
42323 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 454-3488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580083200000",
"number": "1003472598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39475 ANN ARBOR RD E",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704524",
"telephone_number": "734-454-3488",
"fax_number": "734-454-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39475 ANN ARBOR RD E",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704524",
"telephone_number": "734-454-3488",
"fax_number": "734-454-3599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORPORE SANO HOME HEALTH CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-10",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A",
"authorized_official_last_name": "BRAZDAU",
"authorized_official_first_name": "MIHAELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-454-3488"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Corpore Sano Palliative Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Corpore Sano Palliative Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.