Organization Active NPI

Eyewitness at Your Service LLC

  • Home Health Aide
  • Shelby TWP, MI
National Provider Identifier
1487342374
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Rochelle L CoadyNPI 1609564772
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)CodeLicenseStatePrimary
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 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": "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

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.

Verify at the official NPI Registry.