Organization Active NPI

Assisted Care Agency

  • Home Health Aide
  • West Bloomfield, MI
National Provider Identifier
1104719244
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
ASSISTED CARE AGENCY
Practice address
4514 Forest Edge LN
West Bloomfield, MI 48323-2182
Phone
(248) 761-9800
NPI assigned
May 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Calvin PattahNPI 1366161804
Title
Manager
Phone
(248) 761-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

4514 Forest Edge LN
West Bloomfield, MI 48323-2182

Mailing address

4514 Forest Edge LN
West Bloomfield, MI 48323-2182

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1104719244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 FOREST EDGE LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 FOREST EDGE LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232182",
            "telephone_number": "248-761-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "PATTAH",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-761-9800"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.