Home Visit MD PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301080385 Issued in MI

Legal business name

HOME VISIT MD PLC

Practice address

26206 W 12 Mile Rd
Ste 302
Southfield, MI 48034-8501

Phone

(248) 440-6090

Fax

(248) 440-6094

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Reginald N Eburuche Sr., MD

Title

Owner

Phone

(248) 440-6090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HOME VISIT M.D., PLC Doing business as

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1205964012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 250077",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "48025",
            "telephone_number": "248-440-6090",
            "fax_number": "248-440-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26206 W 12 MILE RD",
            "address_2": "STE 302",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348501",
            "telephone_number": "248-440-6090",
            "fax_number": "248-440-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME VISIT MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "EBURUCHE",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-440-6090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301080385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470773210",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOME VISIT M.D., PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Home Help Assistance, Inc
• Home Physician Services PC
• Home Physicians Group Inc
• Home Physicians of Michigan, PC
• Home Rehab Specialists, LLC
• Home Visiting Doctors PLLC
• Home Visiting Doctors, PLLC
• Home VP Inc
• Homecare Network of Michigan Inc.
• Homehealth Network

• Internal Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.