Eulicare Home Health Service, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EULICARE HOME HEALTH SERVICE, LLC

Practice address

16213 W Seven Mile Rd
Detroit, MI 48235-0399

Phone

(313) 566-5356

Fax

(313) 731-2008

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Kpan

Title

Owner

Phone

(313) 522-9399

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Eulicare Medical Doing business as

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1659452803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35399",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482350399",
            "telephone_number": "313-566-5356",
            "fax_number": "313-731-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16213 W SEVEN MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482350399",
            "telephone_number": "313-566-5356",
            "fax_number": "313-731-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EULICARE HOME HEALTH SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "KPAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-522-9399",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87458204",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "5071400001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN#",
            "identifier": "540H221350",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eulicare Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Danny Etta, MD
• Mohammad Ettaher
• Darquisia Eubanks
• Dashannia Aneshia Eubanks
• Saniqua Mona Eubanks, FAODP
• Nina Marie Eusani, R.N.
• Cathy Lynn Euseary, CARE COORDINATOR
• Maria Carla Lourdes Eusebio-Pinili, P.T.
• Evangel Street & Byway Ministries
• Maristella S Evangelista, MD

• Durable Medical Equipment & Medical Supplies in Detroit, MI
• Providers in Detroit, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.