Dynamic Visions II, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DYNAMIC VISIONS II, INC

Practice address

16000 W Nine Mile Rd
Suite 420
Southfield, MI 48075

Phone

(313) 884-5580

NPI assigned

Jul 4, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Isaiah Bongam

Title

Chief Executive Officer

Phone

(240) 505-0379

Specialties & licenses 1

Addresses

Other names 1

• Dynamic Visions Home Health Services Other name

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629008594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 W NINE MILE RD",
            "address_2": "SUITE 420",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "313-884-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 W NINE MILE RD",
            "address_2": "SUITE 420",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "313-884-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC VISIONS II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BONGAM",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "240-505-0379",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Visions Home Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dynamic Home Care Services, Inc
• Dynamic Home Care Services, Inc. (Dynamic Home Care)
• Dynamic Hospice, Inc
• Dynamic Medical Supply LLC
• Dynamic Rehab, LLC
• Dynamic Visions, Inc (Dynamic Visions Home Health Services)
• Dyverse Management, LLC
• Olivia Dziewit
• E2 Durable Medical Equipment LLC
• Samantha Marie Eaddy, RN

• 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 Jul 21, 2022; 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.