NPIMap

Organization Active NPI

Care Homes

  • Adult Care Home Facility
  • Ypsilanti, MI
National Provider Identifier
1295271278
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AS810340418 Issued in MI
Legal business name
CARE HOMES
Practice address
702 Cornell Rd
Ypsilanti, MI 48197-2003
Phone
(734) 330-0330
NPI assigned
Jan 13, 2017
Last updated
Jan 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Shahiba Minnich
Title
Secretary
Phone
(734) 330-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AS810340418 MI Primary

Addresses

Primary practice location

702 Cornell Rd
Ypsilanti, MI 48197-2003

Mailing address

702 Cornell Rd
Ypsilanti, MI 48197-2003

Other identifiers 1

IdentifierTypeStateIssuer
AS810340418MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1295271278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CORNELL RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 CORNELL RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972003",
            "telephone_number": "734-330-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "MINNICH",
        "authorized_official_first_name": "SHAHIBA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "734-330-0330"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS810340418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AS810340418",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.