Organization Active NPI

Asa Doula and Elder Care LLC

  • Home Health Agency
  • Pontiac, MI
National Provider Identifier
1154098960
Registry record updated Aug 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ASA DOULA AND ELDER CARE LLC
Practice address
82 S Eastway Dr
Pontiac, MI 48342-2931
Phone
(248) 525-0389
NPI assigned
Aug 28, 2021
Last updated
Aug 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2021

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

Authorized official

Name
Keesha Dawn Glazier
Title
Owner
Phone
(248) 525-0389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

82 S Eastway Dr
Pontiac, MI 48342-2931

Mailing address

82 S Eastway Dr
Pontiac, MI 48342-2931
Phone (248) 525-0389

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630108800000",
    "number": "1154098960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 S EASTWAY DR",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422931",
            "telephone_number": "248-525-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 S EASTWAY DR",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422931",
            "telephone_number": "248-525-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASA DOULA AND ELDER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-28",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A",
        "authorized_official_last_name": "GLAZIER",
        "authorized_official_first_name": "KEESHA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-525-0389"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.