Active NPI
Integrated Home Doctors P.L.L.C.
- Home Health Agency
- Warren, MI
National Provider Identifier
1114640273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- INTEGRATED HOME DOCTORS P.L.L.C.
- Practice address
- 11670 Martin Rd Ste 102
Warren, MI 48093-4511 - Phone
- (734) 904-1016
- NPI assigned
- Sep 23, 2022
- 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
- Dr. Ronald Lee Kissel, M.D.
- Title
- President
- Phone
- (847) 431-4500
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
11670 Martin Rd Ste 102
Warren, MI 48093-4511
Mailing address
11670 Martin Rd Ste 102
Warren, MI 48093-4511
Phone (734) 904-1016
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | integratedhomedoctors@gmail.com | Direct |
National Provider Directory
National Provider DirectoryLocations
11670 Martin Rd
Ste 102
Warren, MI 48093
Phone (734) 904-1016
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Niles, MI
- NPI 1851484356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664841600000",
"number": "1114640273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11670 MARTIN RD STE 102",
"city": "WARREN",
"state": "MI",
"postal_code": "480934511",
"telephone_number": "734-904-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11670 MARTIN RD STE 102",
"city": "WARREN",
"state": "MI",
"postal_code": "480934511",
"telephone_number": "734-904-1016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED HOME DOCTORS P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-23",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A",
"authorized_official_last_name": "KISSEL",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-431-4500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "integratedhomedoctors@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "11670 Martin Rd Ste 102",
"city": "Warren",
"state": "MI",
"country_code": "US",
"postal_code": "480934511",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.