Elder Home Care

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

302R00000X Issued in MI

Legal business name

ELDER HOME CARE

Practice address

16352 E Warren Ave
Detroit, MI 48224-2716

Phone

(313) 642-1410

NPI assigned

Nov 24, 2008

Organization subpart

No

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

Authorized official

Name

Kirk Young

Title

President

Phone

(313) 642-1410

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1558516153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16352 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242716",
            "telephone_number": "313-642-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16352 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242716",
            "telephone_number": "313-642-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-642-1410"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "302R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faesal Elbakoush
• Jaber Elbashir, M.D
• Mohammed Elbashir, M.D
• Elda Home Help Group
• Elder First Home Care
• Adam J. Elder, MD
• Jack S Elder, MD
• Lataren D Elder
• Madina Elder, PHARMD
• Mahir Darrar Elder, MD

• Health Maintenance Organization in Detroit, MI
• Providers in Detroit, MI by specialty
• Health Maintenance Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.