Momba Home Care Michigan, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MOMBA HOME CARE MICHIGAN, LLC

Practice address

3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805

Phone

(248) 290-9621

NPI assigned

Jul 26, 2024

Organization subpart

No

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

Authorized official

Name

Elazar Huisman

Title

Npi Manager

Phone

(404) 418-7484

Specialties & licenses 1

Addresses

Tax ID family

Momba Home Care Michigan 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.

• Momba Home Care Michigan, LLC

  • In Home Supportive Care Agency
  • Dearborn, MI
  • NPI 1851107726
  NPD tax ID

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1265260566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PERIMETER CENTER TER NE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303461201",
            "telephone_number": "248-290-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GREENFIELD RD STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201805",
            "telephone_number": "248-290-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMBA HOME CARE MICHIGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "HUISMAN",
        "authorized_official_first_name": "ELAZAR",
        "authorized_official_title_or_position": "NPI MANAGER",
        "authorized_official_telephone_number": "404-418-7484"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molina Medical Group of Michigan, PC
• Molina Medical Group of Michigan, PC
• Molina Medical Group of Michigan, PC (Avalon Health Center)
• Angelina Christina Molinaro
• Hunter Molino
• Momba Home Care Michigan, LLC
• Feroze A Momin, MD
• Van C. Momon, M.D.
• Diva Fay Moncada, MD
• Michele Monette

• In Home Supportive Care Agency in Dearborn, MI
• Providers in Dearborn, 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 Jun 30, 2026; 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.