NPIMap

Organization Active NPI

My Home Doctor,P.C.

  • Physical Disabilities Residential Treatment Facility
  • Ypsilanti, MI
National Provider Identifier
1023047883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
MY HOME DOCTOR,P.C.
Practice address
317 Ecorse Rd
Suite # 14
Ypsilanti, MI 48198-5787
Phone
(866) 887-0477
Fax
(734) 448-0130
NPI assigned
Jul 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ataul Haque
Title
Office Manager
Phone
(866) 887-0477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

317 Ecorse Rd
Suite # 14
Ypsilanti, MI 48198-5787

Mailing address

317 Ecorse Rd
Suite # 14
Ypsilanti, MI 48198-5787
Phone (866) 887-0477

National Provider Directory

National Provider Directory

Locations

850 S Hewitt Rd
Ste 10
Ypsilanti, MI 48197
Phone (866) 887-0477

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023047883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 ECORSE RD",
            "address_2": "SUITE # 14",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985787",
            "telephone_number": "866-887-0477",
            "fax_number": "734-448-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 ECORSE RD",
            "address_2": "SUITE # 14",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985787",
            "telephone_number": "866-887-0477",
            "fax_number": "734-448-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HOME DOCTOR,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "ATAUL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "866-887-0477"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.