Organization Active NPI

Davis Hylton Radtke TWM LLC

  • In Home Supportive Care Agency
  • Troy, MI
National Provider Identifier
1497289235
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DAVIS HYLTON RADTKE TWM LLC
Practice address
46 E Square Lake Rd
Troy, MI 48085-3105
Phone
(248) 928-1222
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Pamela Lynn Davis
Title
Owner
Phone
(248) 890-3345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

46 E Square Lake Rd
Troy, MI 48085-3105

Mailing address

46 E Square Lake Rd
Troy, MI 48085-3105
Phone (248) 928-1222

Other names 1

  • FirstLight Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

46 E Square Lake Rd
Troy, MI 48085
Phone (248) 928-1222

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1497289235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 E SQUARE LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853105",
            "telephone_number": "248-928-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 E SQUARE LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853105",
            "telephone_number": "248-928-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS HYLTON RADTKE TWM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-890-3345"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.