Organization Active NPI

Grand American Home Care, Inc.

  • Home Health Agency
  • Taylor, MI
National Provider Identifier
1174704266
Registry record updated Nov 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRAND AMERICAN HOME CARE, INC.
Practice address
21649 Goddard Rd
Suite B-125
Taylor, MI 48180-4299
Phone
(313) 292-3529
Fax
(313) 292-3787
NPI assigned
Nov 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2007

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

Authorized official

Name
Mr. Augustine R Domingo Jr.
Title
President
Phone
(313) 292-3529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MI Primary

Addresses

Primary practice location

21649 Goddard Rd
Suite B-125
Taylor, MI 48180-4299

Mailing address

21649 Goddard Rd
Suite B-125
Taylor, MI 48180-4299
Phone (313) 292-3529

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195257600000",
    "number": "1174704266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21649 GODDARD RD",
            "address_2": "SUITE B-125",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804299",
            "telephone_number": "313-292-3529",
            "fax_number": "313-292-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21649 GODDARD RD",
            "address_2": "SUITE B-125",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804299",
            "telephone_number": "313-292-3529",
            "fax_number": "313-292-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND AMERICAN HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-17",
        "last_updated": "2007-11-17",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-292-3529",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2007; 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.