Organization Active NPI

Elder Care Visiting Physicians

  • Legal Medicine
  • Southfield, MI
National Provider Identifier
1679705685
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
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

Updated by the provider on Aug 10, 2009

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)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163W00000X
Legal MedicineGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 173000000X Primary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.