Organization Active NPI

David Home Care LLC

  • In Home Supportive Care Agency
  • Melvindale, MI
National Provider Identifier
1447071824
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DAVID HOME CARE LLC
Practice address
23900 Outer Dr Ste 2
Melvindale, MI 48122-1646
Phone
(248) 670-6909
NPI assigned
Oct 18, 2024
Last updated
Oct 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVID HOME CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Briggittee JacksonNPI 1659829042
Title
Owner
Phone
(248) 670-6909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X
Chore Provider 372500000X
Personal Care Attendant 3747P1801X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

23900 Outer Dr Ste 2
Melvindale, MI 48122-1646

Mailing address

23900 Outer Dr Ste 2
Melvindale, MI 48122-1646
Phone (248) 670-6909

National Provider Directory

National Provider Directory
Part of
David Home Care LLC

Locations

23900 Outer Dr
Ste 2
Melvindale, MI 48122
Phone (248) 670-6909

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": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1447071824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23900 OUTER DR STE 2",
            "city": "MELVINDALE",
            "state": "MI",
            "postal_code": "481221646",
            "telephone_number": "248-670-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23900 OUTER DR STE 2",
            "city": "MELVINDALE",
            "state": "MI",
            "postal_code": "481221646",
            "telephone_number": "248-670-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID HOME CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID HOME CARE LLC",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BRIGGITTEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-670-6909"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melvindale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.