Organization Active NPI

St Agatha Home Care LLC

  • In Home Supportive Care Agency
  • Livonia, MI
National Provider Identifier
1083131122
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ST AGATHA HOME CARE LLC
Practice address
16715 Savoie St
Livonia, MI 48154-3321
Phone
(734) 261-2248
NPI assigned
Aug 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

Authorized official

Name
Mr. Adam J Devlin
Title
Manager
Phone
(248) 703-6201

Specialties & licenses 1

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

Addresses

Primary practice location

16715 Savoie St
Livonia, MI 48154-3321

Mailing address

30850 Telegraph Rd Ste 250
Bingham Farms, MI 48025-4579
Phone (248) 703-6201

National Provider Directory

National Provider Directory

Locations

30850 Telegraph Rd
Ste 250
Bingham Farms, MI 48025

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1083131122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30850 TELEGRAPH RD STE 250",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254579",
            "telephone_number": "248-703-6201",
            "fax_number": "248-987-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16715 SAVOIE ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543321",
            "telephone_number": "734-261-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AGATHA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "DEVLIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-703-6201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.