Active NPI
Devine Home Health Care Agency LLC
- Home Health Agency
- Southfield, MI
National Provider Identifier
1538470992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DEVINE HOME HEALTH CARE AGENCY LLC
- Practice address
- 25511 Southfield Rd
Suite 125
Southfield, MI 48075-1856 - Phone
- (248) 557-4665
- Fax
- (248) 557-4665
- NPI assigned
- Jun 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ima Akpabio Iban
- Title
- Owner
- Phone
- (248) 557-4665
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
25511 Southfield Rd
Suite 125
Southfield, MI 48075-1856
Mailing address
25511 Southfield Rd
Suite 125
Southfield, MI 48075-1856
Phone (248) 557-4665
National Provider Directory
National Provider DirectoryLocations
25511 Southfield Rd
Ste 125
Southfield, MI 48075
Phone (248) 557-4665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283990400000",
"number": "1538470992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25511 SOUTHFIELD RD",
"address_2": "SUITE 125",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480751856",
"telephone_number": "248-557-4665",
"fax_number": "248-557-4665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25511 SOUTHFIELD RD",
"address_2": "SUITE 125",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480751856",
"telephone_number": "248-557-4665",
"fax_number": "248-557-4665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVINE HOME HEALTH CARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-30",
"last_updated": "2010-09-09",
"status": "A",
"authorized_official_last_name": "IBAN",
"authorized_official_first_name": "IMA",
"authorized_official_middle_name": "AKPABIO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-557-4665",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"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 Sep 9, 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.