Camp Home Health Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CAMP HOME HEALTH SERVICES, INC

Practice address

8055 Independence Dr
Sterling Heights, MI 48313-3825

Phone

(586) 977-7953

Fax

(586) 977-7968

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Alvin M Pedroche

Title

Administrator

Phone

(586) 977-7953

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1508863028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 INDEPENDENCE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483133825",
            "telephone_number": "586-977-7953",
            "fax_number": "586-977-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 INDEPENDENCE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483133825",
            "telephone_number": "586-977-7953",
            "fax_number": "586-977-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "PEDROCHE",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "586-977-7953",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15 4480816",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Sterling Heights, MI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.