NPIMap

Organization Active NPI

Heal Fully Home Care LLC

  • Home Health Agency
  • Dearborn Heights, MI
National Provider Identifier
1295556728
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAL FULLY HOME CARE LLC
Practice address
26460 Westphal St Apt 117
Dearborn Heights, MI 48127-3777
Phone
(313) 942-2904
NPI assigned
Oct 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Jabril Cortez JohnsonNPI 1982425401
Title
Owner
Phone
(313) 942-2904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

26460 Westphal St Apt 117
Dearborn Heights, MI 48127-3777

Mailing address

26460 Westphal St Apt 117
Dearborn Heights, MI 48127-3777
Phone (313) 942-2904

Other names 1

  • HFHC LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1295556728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26460 WESTPHAL ST APT 117",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273777",
            "telephone_number": "313-942-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26460 WESTPHAL ST APT 117",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273777",
            "telephone_number": "313-942-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL FULLY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JABRIL",
        "authorized_official_middle_name": "CORTEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-942-2904"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HFHC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.