Individual provider Active NPI

Anthony S Kassab

  • Home Health Agency
  • Warren, MI
National Provider Identifier
1386290674
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
31201 Chicago Rd S Ste C101
Warren, MI 48093-5523
Phone
(248) 687-4768
NPI assigned
Aug 13, 2019
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

31201 Chicago Rd S Ste C101
Warren, MI 48093-5523

Mailing address

31201 Chicago Rd S Ste C101
Warren, MI 48093-5523
Phone (248) 687-4768

Other practice location 1

48475 Red Oak Dr
Shelby Twp, MI 48315-4085
Phone (248) 687-4768

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

OrganizationSpecialtyStatusNew patients
3 Dove Medical Supplies Durable Medical Equipment & Medical Supplies CurrentSince Aug 1, 2019 Accepting new patients
3 Doves Home Assistance Home Health Current Accepting new patients

Locations

31201 Chicago Rd S
Ste C101
Warren, MI 48093
Phone (248) 687-4768

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1386290674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S STE C101",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935523",
            "telephone_number": "248-687-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S STE C101",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935523",
            "telephone_number": "248-687-4768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48475 Red Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483154085",
            "country_code": "US",
            "telephone_number": "248-687-4768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASSAB",
        "first_name": "ANTHONY",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.