Providence Homecare Providers PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PROVIDENCE HOMECARE PROVIDERS PLLC

Practice address

25511 Southfield Rd Ste 118
Southfield, MI 48075-1830

Phone

(248) 443-6690

Fax

(248) 443-6692

NPI assigned

Jan 16, 2018

Organization subpart

No

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

Authorized official

Name

Josephina Cabuena Bello, MD

Title

President

Phone

(734) 260-3137

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1174031942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25511 SOUTHFIELD RD STE 118",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751830",
            "telephone_number": "248-443-6690",
            "fax_number": "248-443-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 SOUTHFIELD RD STE 118",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751830",
            "telephone_number": "248-443-6690",
            "fax_number": "248-443-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOMECARE PROVIDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "JOSEPHINA",
        "authorized_official_middle_name": "CABUENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-260-3137",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.