Active NPI
St Agatha Home Care LLC
- In Home Supportive Care Agency
- Livonia, MI
National Provider Identifier
1083131122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.