NPIMap

Organization Active NPI

Visiting Nurse Association of Southeast Michigan

  • Community Based Hospice Care Agency
  • Oak Park, MI
National Provider Identifier
1194897538
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
833512 Issued in MI
Legal business name
VISITING NURSE ASSOCIATION OF SOUTHEAST MICHIGAN
Practice address
25900 Greenfield Rd
Suite 600
Oak Park, MI 48237-1292
Phone
(248) 967-8719
Fax
(248) 967-8761
NPI assigned
Nov 14, 2006
Organization subpart
Yes
Parent organization
VISITING NURSE ASSOCIATION OF SOUTHEAST MICHIGANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Mr. Jeffrey House
Title
President & Ceo
Phone
(248) 967-9611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 833512 MI Primary

Addresses

Primary practice location

25900 Greenfield Rd
Suite 600
Oak Park, MI 48237-1292

Mailing address

25900 Greenfield Rd
Suite 600
Oak Park, MI 48237-1292
Phone (248) 967-8719

Other identifiers 2

IdentifierTypeStateIssuer
3140490MedicaidMI
08750OtherMIBLUE CROSS BLUE SHIELD OF

Other names 1

  • HOSPICE VNA OF SE MI Doing business as

National Provider Directory

National Provider Directory
Part of
Visiting Nurse Associaton

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1194897538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25900 GREENFIELD RD",
            "address_2": "SUITE 600",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371292",
            "telephone_number": "248-967-8719",
            "fax_number": "248-967-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25900 GREENFIELD RD",
            "address_2": "SUITE 600",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371292",
            "telephone_number": "248-967-8719",
            "fax_number": "248-967-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF SOUTHEAST MICHIGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISITING NURSE ASSOCIATION OF SOUTHEAST MICHIGAN",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "248-967-9611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "833512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3140490",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "08750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOSPICE VNA OF SE MI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 20, 2011; 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.