Organization Active NPI

Dominion Staffing LLC

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1295428258
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DOMINION STAFFING LLC
Practice address
24655 Southfield Rd Ste 104
Southfield, MI 48075-8100
Phone
(313) 888-5097
NPI assigned
May 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Bobby L Festus
Title
Owner
Phone
(313) 888-5097

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Respite Care 385H00000X

Addresses

Primary practice location

24655 Southfield Rd Ste 104
Southfield, MI 48075-8100

Mailing address

24655 Southfield Rd Ste 104
Southfield, MI 48075-8100
Phone (313) 888-5097

National Provider Directory

National Provider Directory

Locations

24655 Southfield Rd
Ste 104
Southfield, MI 48075
Phone (313) 888-5097

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1295428258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24655 SOUTHFIELD RD STE 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480758100",
            "telephone_number": "313-888-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24655 SOUTHFIELD RD STE 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480758100",
            "telephone_number": "313-888-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "FESTUS",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-888-5097"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.