Organization Active NPI

Kynergy Home Care

  • Home Health Agency
  • Bloomfield Hills, MI
National Provider Identifier
1124363312
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KYNERGY HOME CARE
Practice address
4321 Antique LN
Bloomfield Hills, MI 48302-1807
Phone
(248) 432-7276
Fax
(248) 254-6678
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Mr. Brian Coon
Title
Ceo/Owner
Phone
(248) 464-8017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4321 Antique LN
Bloomfield Hills, MI 48302-1807

Mailing address

4321 Antique LN
Bloomfield Hills, MI 48302-1807
Phone (248) 432-7276

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1124363312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 ANTIQUE LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021807",
            "telephone_number": "248-432-7276",
            "fax_number": "248-254-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 ANTIQUE LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021807",
            "telephone_number": "248-432-7276",
            "fax_number": "248-254-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYNERGY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "COON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "248-464-8017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.