Mariam Homes Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MARIAM HOMES INC.

Practice address

42000 Koppernick Rd
A-7
Canton, MI 48187-4282

Phone

(734) 254-0092

Fax

(734) 254-0180

NPI assigned

Mar 19, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Immaculata Obioma Nwachukwu

Title

Director

Phone

(734) 254-0092

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1124342175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42000 KOPPERNICK RD",
            "address_2": "A-7",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874282",
            "fax_number": "734-254-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42000 KOPPERNICK RD",
            "address_2": "A-7",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874282",
            "telephone_number": "734-254-0092",
            "fax_number": "734-254-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAM HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "NWACHUKWU",
        "authorized_official_first_name": "IMMACULATA",
        "authorized_official_middle_name": "OBIOMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-254-0092",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION ID NUMBER",
            "identifier": "70738U",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henrry E Maradiaga, RN
• Ashley Amber Maresh, NP
• David Isaac Margolis, MD
• Maria Crumes M.D. P.C.
• Mariam Health Services PLC
• Mariam Hospice LLC
• Doina Marin
• Olivia Michelle Marineau, OD
• Molly Ann Marlatt
• Joseph K Martenka, PT, DPT

• Assisted Living Facility in Canton, MI
• Providers in Canton, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.