Active NPI
Avocare Health Services
- Home Health Agency
- Dearborn, MI
National Provider Identifier
1457050791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AVOCARE HEALTH SERVICES
- Practice address
- 6 Parklane Blvd Ste 525
Dearborn, MI 48126-4210 - Phone
- (810) 275-1885
- NPI assigned
- Feb 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Hillary
- Title
- Chief Financial Officer
- Phone
- (313) 681-0060
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
6 Parklane Blvd Ste 525
Dearborn, MI 48126-4210
Mailing address
6 Parklane Blvd Ste 525
Dearborn, MI 48126-4210
Phone (810) 275-1885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240509003279 | MI | Part B Supplier - Clinic/Group Practice | 2668838038 |
Receives reassigned benefits from 8 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dearborn, MI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Geriatric Medicine (Family Medicine) Physician
- Dearborn, MI
- NPI 1154156420
O20240509003279
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Cardiovascular Disease Physician
- Dearborn, MI
- NPI 1144159559
-
- Geriatric Medicine (Family Medicine) Physician
- Dearborn, MI
- NPI 1154156420
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Grosse Pointe Farms, MI
- NPI 1710193354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1457050791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 PARKLANE BLVD STE 525",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481264210",
"telephone_number": "810-275-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PARKLANE BLVD STE 525",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481264210",
"telephone_number": "810-275-1885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVOCARE HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-24",
"status": "A",
"authorized_official_last_name": "HILLARY",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "313-681-0060"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.