Organization Active NPI

Dynamic Hospice, Inc

  • Community Based Hospice Care Agency
  • Southfield, MI
National Provider Identifier
1528123684
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DYNAMIC HOSPICE, INC
Practice address
24001 Southfield Rd
Suite 205
Southfield, MI 48075-2816
Phone
(248) 905-5022
Fax
(248) 905-5203
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Mrs. Thelma Robinson, MSN, RN
Title
Administrator
Phone
(248) 379-7999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

24001 Southfield Rd
Suite 205
Southfield, MI 48075-2816

Mailing address

24001 Southfield Rd
Suite 205
Southfield, MI 48075-2816
Phone (248) 905-5022

National Provider Directory

National Provider Directory

Locations

24001 Southfield Rd
Ste 205
Southfield, MI 48075
Phone (248) 905-5022

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1528123684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24001 SOUTHFIELD RD",
            "address_2": "SUITE 205",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752816",
            "telephone_number": "248-905-5022",
            "fax_number": "248-905-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24001 SOUTHFIELD RD",
            "address_2": "SUITE 205",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752816",
            "telephone_number": "248-905-5022",
            "fax_number": "248-905-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "THELMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-379-7999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.