Organization Active NPI

M-Care Inc

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1093953382
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
M-CARE INC
Practice address
21415 Civic Center Dr Ste 115
Southfield, MI 48076-3952
Phone
(248) 799-0870
Fax
(248) 799-0871
NPI assigned
Jan 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Authorized official

Name
Roderic Light
Title
President
Phone
(248) 799-0870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

21415 Civic Center Dr Ste 115
Southfield, MI 48076-3952

Mailing address

21415 Civic Center Drive Ste 115
Southfield, MI 48076
Phone (248) 799-0870

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1093953382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21415 CIVIC CENTER DRIVE STE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "248-799-0870",
            "fax_number": "248-799-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21415 CIVIC CENTER DR STE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763952",
            "telephone_number": "248-799-0870",
            "fax_number": "248-799-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M-CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "RODERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-799-0870"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.