Evangelical Home Care,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVANGELICAL HOME CARE,LLC

Practice address

23800 W 10 Mile Rd Ste 108
Southfield, MI 48033-3194

Phone

(248) 302-5194

Fax

(248) 559-9663

NPI assigned

May 12, 2020

Organization subpart

No

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

Authorized official

Name

Miss Generosa F Agustin, R.N.

Title

Administrator

Phone

(248) 302-5194

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1619599768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 W 10 MILE RD STE 108",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333194",
            "telephone_number": "248-302-5194",
            "fax_number": "248-559-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 W 10 MILE RD STE 108",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333194",
            "telephone_number": "248-302-5194",
            "fax_number": "248-559-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELICAL HOME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "AGUSTIN",
        "authorized_official_first_name": "GENEROSA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-302-5194",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Home Health Agency in Michigan

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