Organization Active NPI

Montgomery Family Care LLC

  • In Home Supportive Care Agency
  • Detroit, MI
National Provider Identifier
1265250351
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MONTGOMERY FAMILY CARE LLC
Practice address
2785 E Grand Blvd Unit 169
Detroit, MI 48211-2003
Phone
(248) 919-8388
NPI assigned
Sep 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Jeanna Montgomery
Title
Ceo & Owner
Phone
(248) 919-8333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2785 E Grand Blvd Unit 169
Detroit, MI 48211-2003

Mailing address

43313 Woodward Ave # 1451
Bloomfield Hills, MI 48302-5007
Phone (248) 919-8388

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1265250351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43313 WOODWARD AVE # 1451",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025007",
            "telephone_number": "248-919-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 E GRAND BLVD UNIT 169",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482112003",
            "telephone_number": "248-919-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-28",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "JEANNA",
        "authorized_official_title_or_position": "CEO & OWNER",
        "authorized_official_telephone_number": "248-919-8333"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.