Organization Active NPI

Payne Family Care LLC

  • Home Health Aide
  • Hazel Park, MI
National Provider Identifier
1619840063
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
PAYNE FAMILY CARE LLC
Practice address
556 E Muir Ave
Hazel Park, MI 48030-2530
Phone
(313) 828-9077
NPI assigned
Sep 23, 2025
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Mr. Jeremiah Teshaun Payne
Title
Ceo
Phone
(313) 828-9077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NU Primary

Addresses

Primary practice location

556 E Muir Ave
Hazel Park, MI 48030-2530

Mailing address

556 E Muir Ave
Hazel Park, MI 48030-2530
Phone (313) 828-9077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1619840063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 E MUIR AVE",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480302530",
            "telephone_number": "313-828-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 E MUIR AVE",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480302530",
            "telephone_number": "313-828-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNE FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "TESHAUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-828-9077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.