NPIMap

Organization Active NPI

Bertha Home Health Care

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1396178745
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
05304X Issued in MI
Legal business name
BERTHA HOME HEALTH CARE
Practice address
17530 Fairway Dr
Detroit, MI 48221-2705
Phone
(248) 667-6730
NPI assigned
Aug 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Mr. Michael Oneal TaitNPI 1902534803
Title
Owner
Phone
(248) 667-6730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 05304X MI Primary

Addresses

Primary practice location

17530 Fairway Dr
Detroit, MI 48221-2705

Mailing address

17530 Fairway Dr
Detroit, MI 48221-2705
Phone (248) 667-6730

National Provider Directory

National Provider Directory

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": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1396178745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17530 FAIRWAY DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212705",
            "telephone_number": "248-667-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17530 FAIRWAY DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212705",
            "telephone_number": "248-667-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTHA HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "TAIT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ONEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-667-6730",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "05304X",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 20, 2013; 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.