Organization Active NPI

Healing Care Advocates LLC

  • In Home Supportive Care Agency
  • Dearborn, MI
National Provider Identifier
1063952109
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEALING CARE ADVOCATES LLC
Practice address
4248 Maple St
Dearborn, MI 48126-3544
Phone
(877) 300-8994
NPI assigned
Mar 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Ms. Annette Davis, MT
Title
Co-Owner
Phone
(877) 300-8994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4248 Maple St
Dearborn, MI 48126-3544

Mailing address

4248 Maple St
Dearborn, MI 48126-3544
Phone (877) 300-8994

Other identifiers 1

IdentifierTypeStateIssuer
7481758MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1063952109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 MAPLE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263544",
            "telephone_number": "877-300-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4248 MAPLE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263544",
            "telephone_number": "877-300-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING CARE ADVOCATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "877-300-8994",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7481758",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.