Active NPI
Oakwood Home Care Services
- Home Health Agency
- Allen Park, MI
National Provider Identifier
1679580864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- OAKWOOD HOME CARE SERVICES
- Doing business as
- Oakwood Home Care
- Practice address
- 1633 Fairlane Cir
Suite 100
Allen Park, MI 48101-3660 - Phone
- (800) 757-7711
- Fax
- (313) 996-3102
- NPI assigned
- Aug 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy L Soupis, RN
- Title
- Administrator
- Phone
- (313) 996-3023
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MI | Primary |
Addresses
Primary practice location
1633 Fairlane Cir
Suite 100
Allen Park, MI 48101-3660
Mailing address
1633 Fairlane Circle Suite 100
Allen Park, MI 48101-3660
Phone (800) 757-7711
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237211 | Other | MI | HAP |
| 127837 | Other | MI | GREAT LAKES HEALTH |
| 000000003409 | Other | MI | CAPE HEALTH |
| OE115 | Other | MI | BLUE CROSS |
| 2598361 | Medicaid | MI | |
| HH820004 | Other | MI | M-CARE |
| OE115 | Other | MI | BLUE CARE NETWORK |
| 111432 | Other | MI | CARE CHOICES |
Other names 1
- Oakwood Home Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325203200000",
"number": "1679580864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 FAIRLANE CIRCLE SUITE 100",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481013660",
"telephone_number": "800-757-7711",
"fax_number": "313-996-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 FAIRLANE CIR",
"address_2": "SUITE 100",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481013660",
"telephone_number": "800-757-7711",
"fax_number": "313-996-3102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKWOOD HOME CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-01",
"last_updated": "2011-12-30",
"status": "A",
"authorized_official_last_name": "SOUPIS",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "313-996-3023",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "237211",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH",
"identifier": "127837",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPE HEALTH",
"identifier": "000000003409",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "OE115",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2598361",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M-CARE",
"identifier": "HH820004",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "OE115",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "111432",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oakwood Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Allen Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.