Active NPI
Eyewitness at Your Service LLC
- Home Health Aide
- Shelby TWP, MI
National Provider Identifier
1487342374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- EYEWITNESS AT YOUR SERVICE LLC
- Practice address
- 46300 Lakeside Park Dr Apt 104
Shelby TWP, MI 48315-5543 - Phone
- (313) 753-0389
- Fax
- (586) 317-6056
- NPI assigned
- Apr 27, 2023
- Last updated
- May 1, 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
- Rochelle L Coady
- Title
- Authorized Representative
- Phone
- (586) 477-5458
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| Home Health Aide | 374U00000X | NU | Primary |
Addresses
Primary practice location
46300 Lakeside Park Dr Apt 104
Shelby TWP, MI 48315-5543
Mailing address
46300 Lakeside Park Dr Apt 104
Shelby TWP, MI 48315-5543
Phone (313) 753-0389
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Home Health Aide
- Shelby TWP, MI
- NPI 1609564772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682899200000",
"number": "1487342374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46300 LAKESIDE PARK DR APT 104",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483155543",
"telephone_number": "313-753-0389",
"fax_number": "586-317-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46300 LAKESIDE PARK DR APT 104",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483155543",
"telephone_number": "313-753-0389",
"fax_number": "586-317-6056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYEWITNESS AT YOUR SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-27",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A",
"authorized_official_last_name": "COADY",
"authorized_official_first_name": "ROCHELLE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "586-477-5458"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby TWP, MI
- Empower Care LLC
- Endocrine and Metabolic Disorders Center PC (Endocrine and Metabolic Disorders Center)
- Veronica Ercolani, RN
- Emily Elyse Esper, DPT
- Eyewear Detroit Company (Shelby Eyecare)
- Jessica Elizabeth Ezell, DO
- Taren Faiz
- Family Choice Home Healthcare LLC
- Family First Home Help Care LLC
- Jennifer Marie Fedon, D.D.S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.