Organization Active NPI

At Home Care, Inc.

  • Home Health Agency
  • Southgate, MI
National Provider Identifier
1336453158
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AT HOME CARE, INC.
Practice address
12866 Fort St
Southgate, MI 48195-1060
Phone
(734) 558-3151
Fax
(734) 225-4644
NPI assigned
Aug 4, 2010
Last updated
Aug 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Rasmia Odeh
Title
Administrator
Phone
(734) 558-3151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12866 Fort St
Southgate, MI 48195-1060

Mailing address

13721 Northline Rd
Southgate, MI 48195-1866
Phone (734) 558-3151

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1336453158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13721 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951866",
            "telephone_number": "734-558-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12866 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951060",
            "telephone_number": "734-558-3151",
            "fax_number": "734-225-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "ODEH",
        "authorized_official_first_name": "RASMIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-558-3151"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.