Mi Home Life Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MI HOME LIFE THERAPY LLC

Practice address

936 Madison St.
Ypsilanti, MI 48197-5294

Phone

(734) 961-5450

NPI assigned

Aug 30, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jayne Marie Yatczak, OTRL

Title

Owner

Phone

(734) 961-5450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1205503976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 MADISON ST.",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481975294",
            "telephone_number": "734-961-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 MADISON ST.",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481975294",
            "telephone_number": "734-961-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI HOME LIFE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "YATCZAK",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-961-5450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.