Homebound Medical LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOMEBOUND MEDICAL LLC

Practice address

20124 Lauder St
Detroit, MI 48235-1659

Phone

(313) 551-9628

NPI assigned

Oct 10, 2019

Organization subpart

No

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

Authorized official

Name

Damon Banks

Title

Creator

Phone

(313) 551-9628

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1518509512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20124 LAUDER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351659",
            "telephone_number": "313-551-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20124 LAUDER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351659",
            "telephone_number": "313-551-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEBOUND MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "CREATOR",
        "authorized_official_telephone_number": "313-551-9628"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Detroit, MI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.