Autumn Crest Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AUTUMN CREST HOME HEALTH CARE

Practice address

18966 Greenlawn St
Detroit, MI 48221-2113

Phone

(313) 854-4137

NPI assigned

Jul 26, 2021

Organization subpart

No

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

Authorized official

Name

Aaron M Wagner

Title

Ceo

Phone

(313) 854-4137

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1114690328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18966 GREENLAWN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212113",
            "telephone_number": "313-854-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18966 GREENLAWN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212113",
            "telephone_number": "313-854-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN CREST HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-24",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-854-4137"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preshous Maria Antoinette Austin, LLMSW
• Rena Austin, MA, LLPC, CAAC,
• Teredia Austin, LLMSW
• Authentic Birth LLC
• Daniel Autran Cavalcante Araujo, M.D.
• Virginia Lee Auvil-Pieroni, MSW
• Ava Home Health Care
• Avalon Healing Center
• Pallavi Avasarala
• Rodney Harold Averett

• Home Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.