Organization Active NPI

Ebony Goddess Touch LLC

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1023878006
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EBONY GODDESS TOUCH LLC
Doing business as
EBONY GODDESS TOUCH
Practice address
4375 Nottingham Rd
Detroit, MI 48224-3421
Phone
(586) 278-8706
NPI assigned
Mar 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Ebony I ThomasNPI 1265984843
Title
Owner
Phone
(586) 278-8706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4375 Nottingham Rd
Detroit, MI 48224-3421

Mailing address

4375 Nottingham Rd
Detroit, MI 48224-3421
Phone (586) 278-8706

Other identifiers 1

IdentifierTypeStateIssuer
1265984843MedicaidMI

Other names 2

  • EBONY GODDESS TOUCH Doing business as
  • EBONY GODDESS TOUCH LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1023878006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 NOTTINGHAM RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243421",
            "telephone_number": "586-278-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 NOTTINGHAM RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243421",
            "telephone_number": "586-278-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBONY GODDESS TOUCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-278-8706"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265984843",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EBONY GODDESS TOUCH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EBONY GODDESS TOUCH LLC",
            "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 Mar 19, 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.