NPIMap

Organization Active NPI

Enchanted Home Care LLC

  • Home Health Agency
  • Ypsilanti, MI
National Provider Identifier
1063398113
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ENCHANTED HOME CARE LLC
Practice address
1260 Holmes Rd Apt 8
Ypsilanti, MI 48198-3967
Phone
(304) 561-7737
NPI assigned
Aug 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Fallon Lavae Pool
Title
Owner
Phone
(304) 561-7737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1260 Holmes Rd Apt 8
Ypsilanti, MI 48198-3967

Mailing address

1260 Holmes Rd Apt 8
Ypsilanti, MI 48198-3967
Phone (304) 561-7737

National Provider Directory

National Provider Directory
Tax ID family
Enchanted Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1063398113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 HOLMES RD APT 8",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983967",
            "telephone_number": "304-561-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 HOLMES RD APT 8",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983967",
            "telephone_number": "304-561-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTED HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "FALLON",
        "authorized_official_middle_name": "LAVAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-561-7737"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 13, 2025; 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.