Active NPI
Systech Inc
- Home Health Agency
- Bingham Farms, MI
National Provider Identifier
1053301366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 23-7545
- Legal business name
- SYSTECH INC
- Practice address
- 30700 Telegraph Rd
Suite # 4559
Bingham Farms, MI 48025-4524 - Phone
- (248) 712-1100
- Fax
- (248) 479-5201
- NPI assigned
- Oct 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ram Kancharla
- Title
- Ceo
- Phone
- (248) 712-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 23-7545 | MI | Primary |
Addresses
Primary practice location
30700 Telegraph Rd
Suite # 4559
Bingham Farms, MI 48025-4524
Mailing address
30700 Telegraph Rd
Suite # 4559
Bingham Farms, MI 48025-4524
Phone (248) 712-1100
Other names 1
- Care Origin
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053301366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30700 TELEGRAPH RD",
"address_2": "SUITE # 4559",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254524",
"telephone_number": "248-712-1100",
"fax_number": "248-479-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30700 TELEGRAPH RD",
"address_2": "SUITE # 4559",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254524",
"telephone_number": "248-712-1100",
"fax_number": "248-479-5201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYSTECH INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KANCHARLA",
"authorized_official_first_name": "RAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "248-712-1100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": "23-7545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Care Origin",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bingham Farms, 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.