Home MDS L.L.C

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

36977 Issued in MI

Legal business name

HOME MDS L.L.C

Practice address

17880 Farmington Rd
Unit B
Livonia, MI 48152-3104

Phone

(734) 744-8560

Fax

(734) 744-8563

NPI assigned

Aug 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Fanny Aguirre Dela Cruz, M.D.

Title

Administrative Director

Phone

(734) 744-8560

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Roach-Brown

  • Social Worker
  • Paw Paw, MI
  • NPI 1437552650
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1679739122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17880 FARMINGTON RD",
            "address_2": "UNIT B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523104",
            "telephone_number": "734-744-8560",
            "fax_number": "734-744-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17880 FARMINGTON RD",
            "address_2": "UNIT B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523104",
            "telephone_number": "734-744-8560",
            "fax_number": "734-744-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MDS L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "FANNY",
        "authorized_official_middle_name": "AGUIRRE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "734-744-8560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "36977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Holt
• Nicole Marie Holyfield
• Home Aide Complete LLC
• Home Care Connect, Inc.
• Home Care Team, Inc
• Home Medical Equipment Service and Repair Team LLC (HME Repairteam LLC)
• Homeaidellc
• Homeheart Care LLC
• Kaylin Marie Hoomaian, PA-C
• Kristen Hoover, LPC

• General Practice Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.