Active NPI
Private Duty Home Healthcare, LLC
- Nursing Care Agency
- Saint Joseph, MI
National Provider Identifier
1194689356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- PRIVATE DUTY HOME HEALTHCARE, LLC
- Practice address
- 3838 Niles Rd
Saint Joseph, MI 49085-8612 - Phone
- (269) 983-0300
- Fax
- (269) 983-0303
- NPI assigned
- Dec 12, 2025
- 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
- Jennifer Lentz
- Title
- Ceo
- Phone
- (910) 728-4668
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
3838 Niles Rd
Saint Joseph, MI 49085-8612
Mailing address
3838 Niles Rd
Saint Joseph, MI 49085-8612
Phone (269) 983-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5652945 | Medicaid | MI |
Other names 1
- Avid Health at Home Michigan
National Provider Directory
National Provider Directory- Tax ID family
- Avid Health at Home Michigan
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Saint Joseph, MI
- NPI 1801135413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765497600000",
"number": "1194689356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 NILES RD",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490858612",
"telephone_number": "269-983-0300",
"fax_number": "269-983-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 NILES RD",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490858612",
"telephone_number": "269-983-0300",
"fax_number": "269-983-0303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIVATE DUTY HOME HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-12",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A",
"authorized_official_last_name": "LENTZ",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "910-728-4668"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5652945",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Avid Health at Home Michigan",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.