Individual provider Active NPI

Aliah Sanusi

  • In Home Supportive Care Agency
  • Oak Park, MI
National Provider Identifier
1174138754
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
25900 Greenfield Rd Ste 503
Oak Park, MI 48237-1893
Phone
(313) 528-7779
Fax
(866) 304-9230
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

25900 Greenfield Rd Ste 503
Oak Park, MI 48237-1893

Mailing address

25900 Greenfield Rd Ste 503
Oak Park, MI 48237-1893
Phone (313) 528-7779

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@wayneoaklandhc.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1174138754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25900 GREENFIELD RD STE 503",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371893",
            "telephone_number": "313-528-7779",
            "fax_number": "866-304-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25900 GREENFIELD RD STE 503",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371893",
            "telephone_number": "313-528-7779",
            "fax_number": "866-304-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANUSI",
        "first_name": "ALIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@wayneoaklandhc.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "25900 Greenfield Rd Ste 503",
            "city": "Oak Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482371893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.