Organization Active NPI

Corpore Sano Home Health Care Inc.

  • Community Based Hospice Care Agency
  • Plymouth, MI
National Provider Identifier
1003472598
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jan 27, 2020

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)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.