A Life at Home LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

NA - NON MEDICAL Issued in MI

Legal business name

A LIFE AT HOME LLC.

Doing business as

Comfort Keepers #756

Practice address

4115 Orchard Lake Rd
Orchard Lake, MI 48323-1641

Phone

(248) 504-4974

Fax

(248) 419-5105

NPI assigned

Jul 8, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Victor Beamgard

Title

President/Owner

Phone

(248) 504-4974

Specialties & licenses 3

Addresses

Other names 1

• Comfort Keepers #756 Doing business as

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1235368549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 ORCHARD LAKE RD",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483231641",
            "telephone_number": "248-504-4974",
            "fax_number": "248-419-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 ORCHARD LAKE RD",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483231641",
            "telephone_number": "248-504-4974",
            "fax_number": "248-419-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LIFE AT HOME LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "BEAMGARD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "248-504-4974",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": "NA - NON MEDICAL",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "MI",
            "license": "B526149847888",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MI",
            "license": "NA - NON MEDICAL",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers #756",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yaman Al-Hadidi II, DDS
• Yasmin Al-Zoubaidy, DMD, ENDODONTIST
• Christina Azar, PHARMD
• Elsi Maria Baccari, D.O.
• David Richard Backus, DDS

• In Home Supportive Care Agency in Orchard Lake, MI
• Providers in Orchard Lake, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.