Organization Active NPI

Oakwood Care Connection

  • Home Health Agency
  • Allen Park, MI
National Provider Identifier
1063514305
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OAKWOOD CARE CONNECTION
Practice address
1633 Fairlane Cir
Suite 100
Allen Park, MI 48101-3660
Phone
(866) 776-1869
Fax
(313) 996-3110
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Doug Welday
Title
Cfo
Phone
(313) 253-6017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1633 Fairlane Cir
Suite 100
Allen Park, MI 48101-3660

Mailing address

1633 Fairlane Cir
Suite 100
Allen Park, MI 48101-3660
Phone (866) 776-1869

Other identifiers 1

IdentifierTypeStateIssuer
4384702MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063514305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 FAIRLANE CIR",
            "address_2": "SUITE 100",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481013660",
            "telephone_number": "866-776-1869",
            "fax_number": "313-996-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 FAIRLANE CIR",
            "address_2": "SUITE 100",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481013660",
            "telephone_number": "866-776-1869",
            "fax_number": "313-996-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD CARE CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELDAY",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "313-253-6017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4384702",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, 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.

Verify at the official NPI Registry.