Wakeco Holding Company

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WAKECO HOLDING COMPANY

Practice address

13101 Eckles Rd Ste 103
Plymouth, MI 48170-4245

Phone

(313) 288-9736

NPI assigned

Jan 11, 2022

Organization subpart

No

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

Authorized official

Name

Cody Isaiah StephensNPI 1790436889

Title

President

Phone

(313) 288-9736

Specialties & licenses 3

Addresses

Other names 1

• Metrox Healthcare Services Doing business as

Locations

Practitioners 1

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

• Cody Stephens

  • Home Health Agency
  • Plymouth, MI
  • NPI 1790436889
  NPD Authorized official

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1306597497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51723",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481515723",
            "telephone_number": "734-421-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 ECKLES RD STE 103",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704245",
            "telephone_number": "313-288-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKECO HOLDING COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "ISAIAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-288-9736"
    },
    "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": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metrox Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Wagner
• Kory Wagner
• Robin Wagner
• Fatima Waheedi, PHARMD
• Ann Waight, LLC
• Victor Wakefield
• Olivia Waldecker
• Waldron Neurorehabilitation Psychology, PLLC
• Susan Waling, HCA, CNA
• Amy K Walker

• Home Health Agency in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.