Organization Active NPI

My Place Home Health Care

  • Home Health Agency
  • Lathrup Village, MI
National Provider Identifier
1558332858
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4709334 Issued in MI
Legal business name
MY PLACE HOME HEALTH CARE
Practice address
28860 Southfield Rd
Suite 261
Lathrup Village, MI 48076
Phone
(248) 557-0824
Fax
(248) 557-0844
NPI assigned
Jan 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Afolake Anthonia Bamishe, RN
Title
Administrator
Phone
(248) 557-0824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4709334 MI Primary

Addresses

Primary practice location

28860 Southfield Rd
Suite 261
Lathrup Village, MI 48076

Mailing address

28860 Southfield Rd
Suite 261
Lathrup Village, MI 48076
Phone (248) 557-0824

Other identifiers 1

IdentifierTypeStateIssuer
4709334MedicaidMI

National Provider Directory

National Provider Directory

Locations

15565 Northland Dr E
Ste 817E
Southfield, MI 48075
Phone (248) 910-7003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558332858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28860 SOUTHFIELD RD",
            "address_2": "SUITE 261",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "248-557-0824",
            "fax_number": "248-557-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28860 SOUTHFIELD RD",
            "address_2": "SUITE 261",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "248-557-0824",
            "fax_number": "248-557-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PLACE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAMISHE",
        "authorized_official_first_name": "AFOLAKE",
        "authorized_official_middle_name": "ANTHONIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-557-0824",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "4709334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4709334",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.