Organization Active NPI

Gravitation Home Care, LLC

  • In Home Supportive Care Agency
  • Ferndale, MI
National Provider Identifier
1548041478
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRAVITATION HOME CARE, LLC
Practice address
1938 Burdette St Ste 204
Ferndale, MI 48220-1982
Phone
(313) 216-0676
NPI assigned
Oct 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Shelly Marie Smith
Title
Chief Operating Officer
Phone
(313) 216-0676

Specialties & licenses 1

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

Addresses

Primary practice location

1938 Burdette St Ste 204
Ferndale, MI 48220-1982

Mailing address

741 Ann St
Plymouth, MI 48170-1262

Other names 1

  • Visiting Angels Ferndale Doing business as

National Provider Directory

National Provider Directory

Locations

1938 Burdette St
Ste 204
Ferndale, MI 48220
Phone (313) 216-0676

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1548041478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 ANN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 BURDETTE ST STE 204",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201982",
            "telephone_number": "313-216-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVITATION HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "313-216-0676"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels Ferndale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.