Independent Home Care of Michigan LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INDEPENDENT HOME CARE OF MICHIGAN LLC

Practice address

13280 Old Oaks Dr
Fenton, MI 48430-9497

Phone

(810) 750-2713

Fax

(810) 714-2386

NPI assigned

Mar 1, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Mary Kathryn Clark, RN CCM

Title

Owner

Phone

(810) 750-2713

Specialties & licenses 2

Addresses

Tax ID family

Independent Home Care of Mi LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Independent Home Care of Mi, LLC

  • Child Mental Illness Respite Care
  • Fenton, MI
  • NPI 1578991311
  NPD tax ID

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

{
    "created_epoch": "1235865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235865600000",
    "number": "1194965343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13280 OLD OAKS DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309497",
            "telephone_number": "810-750-2713",
            "fax_number": "810-714-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13280 OLD OAKS DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309497",
            "telephone_number": "810-750-2713",
            "fax_number": "810-714-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT HOME CARE OF MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-01",
        "last_updated": "2009-03-01",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-750-2713",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN CCM"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Madison Iaquinto, M.A.
• Melissa Ibrahim
• James Dewitt Ide, D.C.
• Illuminate Therapy LLC (Illuminate Therapy)
• Independent Home Care of Mi, LLC
• Lee Indianer, RMT
• Leon D Ingham, O.D.
• Inner Growth Services LLC
• Inner Trail Therapy PLLC
• Innovative Healthcare Solutions, LLC

• Home Health Agency in Fenton, MI
• Providers in Fenton, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2009; 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.