Organization Active NPI

Michigan 1 Residential Home Care

  • In Home Supportive Care Agency
  • Detroit, MI
National Provider Identifier
1639864762
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MICHIGAN 1 RESIDENTIAL HOME CARE
Practice address
440 Burroughs St Ste 604
Detroit, MI 48202-3473
Phone
(248) 697-2006
NPI assigned
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Ms. Natasha HarrisNPI 1881135366
Title
Owner
Phone
(586) 569-9242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

440 Burroughs St Ste 604
Detroit, MI 48202-3473

Mailing address

440 Burroughs St Ste 604
Detroit, MI 48202-3473
Phone (248) 697-2006

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.

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1639864762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 BURROUGHS ST STE 604",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023473",
            "telephone_number": "248-697-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 BURROUGHS ST STE 604",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023473",
            "telephone_number": "248-697-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN 1 RESIDENTIAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-569-9242",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.