Active NPI
Elder Care Visiting Physicians
- Legal Medicine
- Southfield, MI
National Provider Identifier
1679705685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- Legal business name
- ELDER CARE VISITING PHYSICIANS
- Practice address
- 30075 Greenfield Rd Ste 101
Southfield, MI 48076-1523 - Phone
- (248) 594-4042
- Fax
- (248) 594-4423
- NPI assigned
- Aug 10, 2009
- 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
- Marsha Sharlene Rutherford
- Title
- Managing Memeber
- Phone
- (248) 594-4042
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Legal Medicine | 173000000X | Primary | ||
| Podiatrist | 213E00000X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
30075 Greenfield Rd Ste 101
Southfield, MI 48076-1523
Mailing address
30075 Greenfield Rd Ste 101
Southfield, MI 48076-1523
Phone (248) 594-4042
Other names 1
- Elder Care VP Service LLC
National Provider Directory
National Provider DirectoryLocations
30075 Greenfield Rd
Ste 101
Southfield, MI 48076
Phone (248) 594-4042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249862400000",
"number": "1679705685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30075 GREENFIELD RD STE 101",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480761523",
"telephone_number": "248-594-4042",
"fax_number": "248-594-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30075 GREENFIELD RD STE 101",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480761523",
"telephone_number": "248-594-4042",
"fax_number": "248-594-4423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELDER CARE VISITING PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-10",
"last_updated": "2009-08-10",
"status": "A",
"authorized_official_last_name": "RUTHERFORD",
"authorized_official_first_name": "MARSHA",
"authorized_official_middle_name": "SHARLENE",
"authorized_official_title_or_position": "MANAGING MEMEBER",
"authorized_official_telephone_number": "248-594-4042"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "173000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elder Care VP Service LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.