Executive Home Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

237660 Issued in MI

Legal business name

EXECUTIVE HOME HEALTH SERVICES, LLC

Practice address

25900 Greenfield Rd
Suite - 410
Oak Park, MI 48237-1292

Phone

(248) 967-9998

Fax

(248) 460-4200

NPI assigned

May 5, 2006

Last updated

Mar 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mohammed Mofozzol Hussain

Title

Owner/Chief Executive Officer

Phone

(248) 967-9998

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1386692945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25900 GREENFIELD RD",
            "address_2": "SUITE - 410",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371292",
            "telephone_number": "248-967-9998",
            "fax_number": "248-460-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25900 GREENFIELD RD",
            "address_2": "SUITE - 410",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371292",
            "telephone_number": "248-967-9998",
            "fax_number": "248-460-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "MOFOZZOL",
        "authorized_official_title_or_position": "OWNER/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "248-967-9998",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "237660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.