Organization Active NPI

Henry's Homes

  • Adult Care Home Facility
  • Southfield, MI
National Provider Identifier
1326442617
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AS630347321 Issued in MI
Legal business name
HENRY'S HOMES
Practice address
28105 Stuart Ave
Southfield, MI 48076-7329
Phone
(313) 829-4498
NPI assigned
Oct 15, 2014
Last updated
Oct 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Porchia Durant
Title
Owner
Phone
(313) 829-4498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AS630347321 MI Primary

Addresses

Primary practice location

28105 Stuart Ave
Southfield, MI 48076-7329

Mailing address

28105 Stuart Ave
Southfield, MI 48076-7329
Phone (313) 829-4498

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1326442617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28105 STUART AVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480767329",
            "telephone_number": "313-829-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28105 STUART AVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480767329",
            "telephone_number": "313-829-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY'S HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "DURANT",
        "authorized_official_first_name": "PORCHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-829-4498"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS630347321",
            "primary": true
        }
    ],
    "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 Oct 15, 2014; 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.