FMC Homes Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

FMC HOMES INC

Practice address

35115 E Michigan Ave
Wayne, MI 48184-1660

Phone

(313) 999-4890

Fax

(248) 615-3047

NPI assigned

Aug 15, 2019

Organization subpart

No

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

Authorized official

Name

Phyllis Clark

Title

Executive Director

Phone

(248) 615-3042

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1295381150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35115 E MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841660",
            "telephone_number": "313-999-4890",
            "fax_number": "248-615-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35115 E MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841660",
            "telephone_number": "313-999-4890",
            "fax_number": "248-615-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMC HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-615-3042"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Summer Fentress
• Dayshawn Jaylen Allen Fields
• Gabrielle Marie Fielhauer
• Jill Finley
• First Michigan Health, Inc.
• Elizabeth Fogarty
• Destiny Antanay-Lamarria Fordham, BS
• Tina Forman
• Rollin Desean Fowlkes Jr., OTRL
• Marjorie Gloria Frank, MS

• Adult Day Care Clinic/Center in Wayne, MI
• Providers in Wayne, MI by specialty
• Adult Day Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.