NPIMap

Organization Active NPI

At Home Physicians, PC

  • Community Health Worker
  • Southfield, MI
National Provider Identifier
1154628204
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
AT HOME PHYSICIANS, PC
Practice address
23155 Northwestern Hwy
Suite 401
Southfield, MI 48075-7703
Phone
(248) 304-1700
Fax
(248) 304-1720
NPI assigned
Feb 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Dr. Leonard Eugene Ellison Jr., M.D.
Title
President
Phone
(313) 477-9545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

23155 Northwestern Hwy
Suite 401
Southfield, MI 48075-7703

Mailing address

23155 Northwestern Hwy
Suite 401
Southfield, MI 48075-7703
Phone (248) 304-1700

National Provider Directory

National Provider Directory

Locations

5130 Coolidge Hwy
Ste 250
Royal Oak, MI 48073
Phone (248) 239-1936

25130 Southfield Rd
Ste 100
Southfield, MI 48075
Phone (248) 234-6790

23155 Northwestern Hwy
Ste 101
Southfield, MI 48075
Phone (248) 351-0713

20755 Greenfield Rd
Ste 802
Southfield, MI 48075
Phone (248) 281-6470

20755 Greenfield Rd
Ste 80
Southfield, MI 48075
Phone (248) 351-0713

23155 Northwestern Hwy
Ste 401
Southfield, MI 48075
Phone (248) 281-0591

8750 Telegraph Rd
Ste 108
Taylor, MI 48180
Phone (313) 299-8600

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1154628204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23155 NORTHWESTERN HWY",
            "address_2": "SUITE 401",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757703",
            "telephone_number": "248-304-1700",
            "fax_number": "248-304-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23155 NORTHWESTERN HWY",
            "address_2": "SUITE 401",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757703",
            "telephone_number": "248-304-1700",
            "fax_number": "248-304-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-477-9545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.