Organization Active NPI

Cancer Health LLC

  • Durable Medical Equipment & Medical Supplies
  • Southfield, MI
National Provider Identifier
1386122059
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CANCER HEALTH LLC
Practice address
18600 W 10 Mile Rd Ste 111
Southfield, MI 48075-2645
Phone
(313) 736-3340
Fax
(313) 736-3340
NPI assigned
Aug 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Authorized official

Name
Ms. Valerie R. WillisNPI 1093292526
Title
Managing Member
Phone
(248) 632-0003

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

18600 W 10 Mile Rd Ste 111
Southfield, MI 48075-2645

Mailing address

18600 W 10 Mile Rd Ste 111
Southfield, MI 48075-2645
Phone (248) 632-0003

National Provider Directory

National Provider Directory

Locations

18600 W 10 Mile Rd
Ste 111
Southfield, MI 48075
Phone (248) 864-8509

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1386122059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 W 10 MILE RD STE 111",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752645",
            "telephone_number": "248-632-0003",
            "fax_number": "313-736-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 W 10 MILE RD STE 111",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752645",
            "telephone_number": "313-736-3340",
            "fax_number": "313-736-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "248-632-0003",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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 Aug 3, 2018; 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.