Active NPI
Familylifehomecare
- In Home Supportive Care Agency
- Muskegon, MI
National Provider Identifier
1174380349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- FAMILYLIFEHOMECARE
- Practice address
- 17 N Wilson St
Muskegon, MI 49442-1859 - Phone
- (231) 888-2090
- NPI assigned
- Mar 4, 2024
- 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
- Kayla McGlory
- Title
- Owner
- Phone
- (231) 888-2090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
17 N Wilson St
Muskegon, MI 49442-1859
Mailing address
15576 W Montecito Ave
Goodyear, AZ 85395-7784
Phone (623) 980-0011
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709510400000",
"number": "1174380349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15576 W MONTECITO AVE",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853957784",
"telephone_number": "623-980-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 N WILSON ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494421859",
"telephone_number": "231-888-2090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILYLIFEHOMECARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-04",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "MCGLORY",
"authorized_official_first_name": "KAYLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-888-2090"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.