Huron Personal Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AM630009309 Issued in MI

Legal business name

HURON PERSONAL CARE HOME

Practice address

350 W Huron St
Pontiac, MI 48341-1422

Phone

(248) 332-1780

Fax

(248) 332-1710

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Lottie Grace Caffee

Title

Provider/Owner

Phone

(248) 332-1780

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1376816611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W HURON ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411422",
            "telephone_number": "248-332-1780",
            "fax_number": "248-332-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W HURON ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411422",
            "telephone_number": "248-332-1780",
            "fax_number": "248-332-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURON PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "CAFFEE",
        "authorized_official_first_name": "LOTTIE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "248-332-1780",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AM630009309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2118627",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Humphries
• Andrew Hunt, MA
• Melanie Hunter, NP
• Hunter'S Helping Hands
• Kaylin Hurlburt
• Jennifer Rae Hurst, LPC NCC CAADC MAC CC
• Petra D Hurt, CRNA
• Muzafar Hussain, PT
• Zoya Hussain
• Sara E. Hussin, CRNA

• All providers in Pontiac, MI
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.