Active NPI
Enchanted Home Care LLC
- Home Health Agency
- Ypsilanti, MI
National Provider Identifier
1164205233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Ypsilanti, MI
- NPI 1063398113
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- In Home Supportive Care Agency
- Ypsilanti, MI
- NPI 1134902331
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.