Organization Active NPI

Home Care One, Inc

Doing business as Crescent Urgent Care

  • Internal Medicine Physician
  • Shelby Township, MI
National Provider Identifier
1679662704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301063463 Issued in MI
Legal business name
HOME CARE ONE, INC
Doing business as
Crescent Urgent Care
Practice address
45941 Hayes Rd
Shelby Township, MI 48315-6217
Phone
(586) 532-6666
NPI assigned
Oct 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hazem Samir Moez, M.D.NPI 1992734214
Title
President
Phone
(313) 410-2010

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
Internal Medicine Physician 207R00000X 4301063463 MI Primary

Addresses

Primary practice location

45941 Hayes Rd
Shelby Township, MI 48315-6217

Mailing address

27141 Kennedy St
Dearborn Heights, MI 48127-1669
Phone (313) 443-0305

Other names 1

  • Crescent Urgent Care Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679662704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27141 KENNEDY ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271669",
            "telephone_number": "313-443-0305",
            "fax_number": "313-561-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45941 HAYES RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156217",
            "telephone_number": "586-532-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE ONE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMIR MOEZ",
        "authorized_official_first_name": "HAZEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-410-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.