Organization Active NPI

Davenport Quality Home Care LLC

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1023312790
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7680076 Issued in MI
Legal business name
DAVENPORT QUALITY HOME CARE LLC
Practice address
5027 Maxwell
Detroit, MI 48213
Phone
(313) 367-9709
NPI assigned
Jan 10, 2011
Last updated
Nov 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Latisha Davenport
Title
Owner/Ceo
Phone
(313) 367-9709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7680076 MI Primary

Addresses

Primary practice location

5027 Maxwell
Detroit, MI 48213

Mailing address

5027 Maxwell
Detroit, MI 48213
Phone (313) 367-9709

Other names 1

  • Davenport Quality Home Care Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1023312790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 MAXWELL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48213",
            "telephone_number": "313-367-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 MAXWELL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48213",
            "telephone_number": "313-367-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT QUALITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "313-367-9709"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "7680076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davenport Quality Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.