Mi Care Provider LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MI CARE PROVIDER LLC

Doing business as

Mi Care Provider LLC

Practice address

30500 Van Dyke Ave Ste 201
Warren, MI 48093-2109

Phone

(586) 876-5513

NPI assigned

Aug 18, 2023

Last updated

Aug 18, 2023By 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. Shiblu F AhmadNPI 1871274605

Title

Owner

Phone

(586) 876-5513

Specialties & licenses 1

Addresses

Other names 1

• MI CARE PROVIDER LLC 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, and the practitioner matching its NPPES authorized official.

• Shiblu F Ahmad

  • Health Service Psychologist
  • Warren, MI
  • NPI 1871274605
  NPD Authorized official

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1366226698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30500 VAN DYKE AVE STE 201",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932109",
            "telephone_number": "586-876-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30500 VAN DYKE AVE STE 201",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932109",
            "telephone_number": "586-876-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CARE PROVIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SHIBLU",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-876-5513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MI CARE PROVIDER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George E Metropoulos, MD
• Peter E Metropoulos, DO MPH FACOEM
• Barry S Meyer, DO
• Karrie Marie Meyers, MS OTRL
• Leia Ruth Meyers, M.D.
• Amena Miah, LLMSW
• Mizanur Rahman Miah, PHARM.D.
• Mian, Inc (Amplifon Hearing Aid Center)
• Michael J Herringshaw DDS (Unique Smiles Dental)
• Sophie Michalak, LLMSW

• Home Health Agency in Warren, MI
• Providers in Warren, 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 18, 2023; 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.