Organization Active NPI

Pride Home Health

  • Home Health Agency
  • Shelby Township, MI
National Provider Identifier
1609297753
Registry record updated Dec 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5501005207 Issued in MI
Legal business name
PRIDE HOME HEALTH
Practice address
2101 Crystal Lake Dr Apt Q-311
Shelby Township, MI 48316-4723
Phone
(248) 890-6058
Fax
(586) 991-5605
NPI assigned
Dec 16, 2013
Last updated
Dec 29, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PRIDE HOME HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2013

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

Authorized official

Name
Muzafar Hussain, PTNPI 1295741155
Title
Officer
Phone
(248) 890-6058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5501005207 MI Primary

Addresses

Primary practice location

2101 Crystal Lake Dr Apt Q-311
Shelby Township, MI 48316-4723

Mailing address

2101 Crystal Lake Dr Apt Q-311
Shelby Township, MI 48316-4723
Phone (248) 890-6058

National Provider Directory

National Provider Directory

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": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388275200000",
    "number": "1609297753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CRYSTAL LAKE DR APT Q-311",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483164723",
            "telephone_number": "248-890-6058",
            "fax_number": "586-991-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CRYSTAL LAKE DR APT Q-311",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483164723",
            "telephone_number": "248-890-6058",
            "fax_number": "586-991-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE HOME HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIDE HOME HEALTH",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-29",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "MUZAFAR",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "248-890-6058",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "5501005207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.