Organization Active NPI

Mars Home Assistance LLC

  • In Home Supportive Care Agency
  • Allen Park, MI
National Provider Identifier
1013773795
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MARS HOME ASSISTANCE LLC
Practice address
4005 Roger Ave
Allen Park, MI 48101-3059
Phone
(137) 994-7753
NPI assigned
Feb 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ahmad Tanana
Title
Owner
Phone
(313) 799-4775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4005 Roger Ave
Allen Park, MI 48101-3059

Mailing address

4005 Roger Ave
Allen Park, MI 48101-3059
Phone (137) 994-7753

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1013773795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 ROGER AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481013059",
            "telephone_number": "137-994-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 ROGER AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481013059",
            "telephone_number": "137-994-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARS HOME ASSISTANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "TANANA",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-799-4775"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.