Organization Active NPI

Michigan Home Physician Service, PLLC

  • Specialist
  • Southfield, MI
National Provider Identifier
1376929562
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MICHIGAN HOME PHYSICIAN SERVICE, PLLC
Practice address
26645 W 12 Mile Road
Suite 109
Southfield, MI 48034-7811
Phone
(248) 797-5293
Fax
(248) 440-5351
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Riaz HussainNPI 1780117424
Title
Owner
Phone
(248) 797-5293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

26645 W 12 Mile Road
Suite 109
Southfield, MI 48034-7811

Mailing address

26645 W 12 Mile Road
Suite 109
Southfield, MI 48034-7811
Phone (248) 797-5293

National Provider Directory

National Provider Directory

Locations

26645 W 12 Mile Rd
Ste 114
Southfield, MI 48034

26645 W 12 Mile Rd
Ste 109
Southfield, MI 48034
Phone (248) 327-7326

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1376929562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26645 W 12 MILE ROAD",
            "address_2": "SUITE 109",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347811",
            "telephone_number": "248-797-5293",
            "fax_number": "248-440-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26645 W 12 MILE ROAD",
            "address_2": "SUITE 109",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347811",
            "telephone_number": "248-797-5293",
            "fax_number": "248-440-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN HOME PHYSICIAN SERVICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "RIAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-797-5293"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 9, 2015; 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.