Organization Active NPI

Luxury Home Care LLC

  • Home Health Agency
  • Ypsilanti, MI
National Provider Identifier
1437758059
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LUXURY HOME CARE LLC
Practice address
6015 Lake Dr Lot 106
Ypsilanti, MI 48197-7016
Phone
(734) 717-3272
NPI assigned
Oct 23, 2020
Last updated
Oct 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Shelby Freeman
Title
Ceo
Phone
(734) 972-5376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

6015 Lake Dr Lot 106
Ypsilanti, MI 48197-7016

Mailing address

PO Box 970174
Ypsilanti, MI 48197-0024
Phone (734) 972-5376

Other identifiers 1

IdentifierTypeStateIssuer
VS0178312MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1437758059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970174",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481970024",
            "telephone_number": "734-972-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 LAKE DR LOT 106",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481977016",
            "telephone_number": "734-717-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXURY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-972-5376"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VS0178312",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.