Sundance Home Health Care,Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

237461 Issued in MI

Legal business name

SUNDANCE HOME HEALTH CARE,INC.

Practice address

15565 Northland Dr W
401-E
Southfield, MI 48075-5305

Phone

(248) 424-7207

Fax

(248) 424-7208

NPI assigned

Jun 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Atique Maitla

Title

President

Phone

(248) 424-7207

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346447125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR",
            "address_2": "401-E",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-424-7207",
            "fax_number": "248-424-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR W",
            "address_2": "401-E",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755305",
            "telephone_number": "248-424-7207",
            "fax_number": "248-424-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE HOME HEALTH CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAITLA",
        "authorized_official_first_name": "ATIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-424-7207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "237461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Sullivan
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• Robert Scott Super, DC
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• Superior Family Medicine Clinic PC

• Home Health Agency in Southfield, MI
• Providers in Southfield, 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 Aug 22, 2020; 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.