Active NPI
Patricia Ann Thomas, CAREGIVER
- Home Health Agency
- Detroit, MI
National Provider Identifier
1386489003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 9118096
- Practice address
- 18424 Runyon St
Detroit, MI 48234-3828 - Phone
- (313) 784-3887
- NPI assigned
- Jun 25, 2024
- Sex
- Female
- 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 | 9118096 | MI | Primary |
Addresses
Primary practice location
18424 Runyon St
Detroit, MI 48234-3828
Mailing address
18424 Runyon St
Detroit, MI 48234-3828
Phone (313) 784-3887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0073121364 | Medicaid | MI |
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 |
|---|---|---|---|
| 9118096 | MI | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1386489003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18424 RUNYON ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482343828",
"telephone_number": "313-784-3887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18424 RUNYON ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482343828",
"telephone_number": "313-784-3887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "CAREGIVER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": "9118096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0073121364",
"state": "MI"
}
],
"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 25, 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.