Organization Active NPI

Von Homecare Agency

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1104791979
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VON HOMECARE AGENCY
Practice address
4909 Moran St
Detroit, MI 48207-1278
Phone
(586) 222-5988
NPI assigned
Oct 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Jaylin Draughn, HOME HEALTH CARE
Title
Owner
Phone
(586) 222-5988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4909 Moran St
Detroit, MI 48207-1278

Mailing address

4909 Moran St
Detroit, MI 48207-1278
Phone (586) 222-5988

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1104791979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 MORAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071278",
            "telephone_number": "586-222-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 MORAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071278",
            "telephone_number": "586-222-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VON HOMECARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "DRAUGHN",
        "authorized_official_first_name": "JAYLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-222-5988",
        "authorized_official_credential": "HOME HEALTH CARE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.