Proactive Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROACTIVE HOME CARE LLC

Practice address

52188 Van Dyke Ave Ste 201a
Shelby Township, MI 48316-3569

Phone

(586) 991-3139

Fax

(586) 204-0295

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Rabia Khan

Title

Ceo

Phone

(586) 785-0622

Specialties & licenses 1

Addresses

Other names 1

• PROACTIVE HOME CARE LLC Doing business as

Locations

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1063108264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 S ROCHESTER RD # 1104",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073534",
            "telephone_number": "586-991-3139",
            "fax_number": "586-204-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52188 VAN DYKE AVE STE 201A",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163569",
            "telephone_number": "586-991-3139",
            "fax_number": "586-204-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RABIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-785-0622",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROACTIVE HOME CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.