Bodie of Love Resident Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BODIE OF LOVE RESIDENT HOME CARE AGENCY LLC

Practice address

2216 Middlebelt Rd
West Bloomfield, MI 48324-1837

Phone

(313) 779-3293

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Demetria Young, HOME CARE PROVIDER

Title

Employee

Phone

(313) 779-3293

Specialties & licenses 1

Addresses

Other names 1

• home care provider Doing business as

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1619712593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15237 FORRER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272312",
            "telephone_number": "313-779-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 MIDDLEBELT RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241837",
            "telephone_number": "313-779-3293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15237 Forrer St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482272312",
            "country_code": "US",
            "telephone_number": "313-779-3293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BODIE OF LOVE RESIDENT HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DEMETRIA",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "313-779-3293",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "HOME CARE PROVIDER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "home care provider",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margot Bloomfield, MA, LLP
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• BMC Pharmacy West Bloomfield, LLC
• Jennifer L Boden, DPT
• Bodyreformmd
• Erica Boettcher, MA, CCC-SLP
• Boggs P.C
• Lisa Bohra, MD
• Ashley Nicole Bolin, PT, DPT

• In Home Supportive Care Agency in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.