Andy Ibrahim

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

42188 Toddmark LN Apt 17
Clinton Township, MI 48038-5498

Phone

(603) 289-4836

NPI assigned

Dec 31, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greatlakes Homecare Center LLC

  • In Home Supportive Care Agency
  • Clinton Township, MI
  • NPI 1568384113
  NPD (past)

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

{
    "created_epoch": "1767139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1184580458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42188 TODDMARK LN APT 17",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385498",
            "telephone_number": "603-289-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42188 TODDMARK LN APT 17",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385498",
            "telephone_number": "603-289-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "ANDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-31",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zainab Hyoori, PHARMACIST
• Shannon Hyso
• Larisa Iacoban
• Davide Iacobelli, MD
• Angela K Ianitelli, PA-C
• Elmoataz Ibrahim, M.D.
• Icare Counseling of Michigan, PLLC
• Jill Ann Idicula
• Kenneth Michael Ierardi, DO
• Luiza Fernandes Iervolino Lemerise, PT, DPT.

• All providers in Clinton Township, MI
• Non-emergency Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.