Organization Active NPI

Promed Home Health Care LLC

  • Home Health Agency
  • Madison Heights, MI
National Provider Identifier
1558519702
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROMED HOME HEALTH CARE LLC
Practice address
330 E 12 Mile Rd
Madison Heights, MI 48071-2531
Phone
(248) 629-4100
Fax
(248) 629-4101
NPI assigned
Aug 29, 2008
Last updated
Apr 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Dipti Dive, P.T.NPI 1821544412
Title
President
Phone
(248) 629-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

330 E 12 Mile Rd
Madison Heights, MI 48071-2531

Mailing address

330 E 12 Mile Rd
Madison Heights, MI 48071-2531
Phone (248) 629-4100

National Provider Directory

National Provider Directory

Locations

24702 W Warren St
Ste B
Dearborn Heights, MI 48127
Phone (313) 274-6684

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": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1558519702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712531",
            "telephone_number": "248-629-4100",
            "fax_number": "248-629-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712531",
            "telephone_number": "248-629-4100",
            "fax_number": "248-629-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "DIVE",
        "authorized_official_first_name": "DIPTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-629-4100",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.