RT Johnson Homecare Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

RT JOHNSON HOMECARE INC.

Doing business as

Visiting Angels Dearborn

Practice address

3200 Greenfield Rd Ste 348
Dearborn, MI 48120-1800

Phone

(313) 486-1077

Fax

(313) 887-0983

NPI assigned

Apr 18, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Robert Howard Johnson

Title

President

Phone

(313) 486-1077

Specialties & licenses 2

Addresses

Other names 1

• Visiting Angels Dearborn Doing business as

Locations

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1083234116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 SHARE AVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986488",
            "telephone_number": "313-486-1077",
            "fax_number": "313-327-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GREENFIELD RD STE 348",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201800",
            "telephone_number": "313-486-1077",
            "fax_number": "313-887-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RT JOHNSON HOMECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-18",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-486-1077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels Dearborn",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Angels Dearborn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Dearborn, MI
• Providers in Dearborn, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.