Organization Active NPI

Enchanted Home Care LLC

  • Home Health Agency
  • Ypsilanti, MI
National Provider Identifier
1164205233
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ENCHANTED HOME CARE LLC
Practice address
1120 Woodglen Ave
Ypsilanti, MI 48198-6216
Phone
(304) 561-7737
NPI assigned
Aug 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Fallon Pool
Title
Owner
Phone
(304) 561-7737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1120 Woodglen Ave
Ypsilanti, MI 48198-6216

Mailing address

847 Sumpter Rd
Van Buren TWP, MI 48111-4905
Phone (304) 561-7737

National Provider Directory

National Provider Directory
Tax ID family
Enchanted Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1164205233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 SUMPTER RD",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481114905",
            "telephone_number": "304-561-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 WOODGLEN AVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986216",
            "telephone_number": "304-561-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTED HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "FALLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-561-7737"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.