NPIMap

Organization Active NPI

City Home Care, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Detroit, MI
National Provider Identifier
1386094340
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CITY HOME CARE, LLC
Practice address
17183 Griggs St
Detroit, MI 48221-2426
Phone
(650) 255-4547
NPI assigned
Jun 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Megan BoyleNPI 1205286267
Title
Director
Phone
(650) 255-4547

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X
Adult Care Home Facility 311ZA0620X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

17183 Griggs St
Detroit, MI 48221-2426

Mailing address

17301 Livernois Ave Ste 929
Detroit, MI 48221-2758
Phone (650) 255-4547

National Provider Directory

National Provider Directory

Locations

17301 Livernois Ave
Ste 929
Detroit, MI 48221

Practitioners & affiliated clinicians

Practitioners 1

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": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1386094340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17301 LIVERNOIS AVE STE 929",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212758",
            "telephone_number": "650-255-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17183 GRIGGS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212426",
            "telephone_number": "650-255-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-255-4547"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.