Active NPI
Maurice Leon Samuels
- Home Health Agency
- Grand Ledge, MI
National Provider Identifier
1386020634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 1032 Willow Hwy
Grand Ledge, MI 48837-2064 - Phone
- (517) 803-8970
- NPI assigned
- Aug 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1032 Willow Hwy
Grand Ledge, MI 48837-2064
Mailing address
5075 Willoughby Rd
Holt, MI 48842-1054
Phone (517) 803-8970
Other names 1
- Mrs. Dawn Samuels
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| By Dawn's Early Light Home Care Srrvice's Inc. | Home Health | Current | Accepting new patients |
Locations
5075 Willoughby Rd
Holt, MI 48842
Phone (517) 694-6564
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Holt, MI
- NPI 1508617424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1386020634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5075 WILLOUGHBY RD",
"city": "HOLT",
"state": "MI",
"postal_code": "488421054",
"telephone_number": "517-803-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 WILLOW HWY",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488372064",
"telephone_number": "517-803-8970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELS",
"first_name": "MAURICE",
"middle_name": "LEON",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-09",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAWN",
"last_name": "SAMUELS",
"prefix": "MRS.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Grand Ledge, MI
- Rite Aid of Michigan Inc (Rite Aid Pharmacy 01530)
- Logan Dempsey Robinson, LMT
- Robyn D Messing DO PLLC
- Kyle Rodewald, PHARM.D.
- Amy Kathleen Rumsey, NP-C
- Barbara D Saxena, MD
- Shannon Marie Scanlon, FNP
- Douglas Gerard Schaefer, L.P.T.A.
- Shelby Schefke
- Schmitzer Eyecare, P.C. (Grand Ledge Optometry, P.C.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.