Active NPI
Eddie Gregory III
- Home Health Aide
- Saginaw, MI
National Provider Identifier
1386181212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- F08388
- Practice address
- 2615 Benjamin St
Saginaw, MI 48602-5736 - Phone
- (989) 522-2900
- NPI assigned
- Jan 30, 2017
- 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 Aide | 374U00000X | F08388 | MI | Primary |
Addresses
Primary practice location
2615 Benjamin St
Saginaw, MI 48602-5736
Mailing address
2615 Benjamin St
Saginaw, MI 48602-5736
Phone (989) 522-2900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F08388 | MI | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1386181212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 BENJAMIN ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025736",
"telephone_number": "989-522-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 BENJAMIN ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025736",
"telephone_number": "989-522-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "EDDIE",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-30",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MI",
"license": "F08388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.