Organization Active NPI

Patient Home Visiting

  • General Practice Physician
  • Dearborn, MI
National Provider Identifier
1710201207
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PATIENT HOME VISITING
Practice address
14716 W Warren Ave
Suite 100
Dearborn, MI 48126-1347
Phone
(313) 581-8585
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Mr. Alaa Aboutaam
Title
President
Phone
(313) 581-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

14716 W Warren Ave
Suite 100
Dearborn, MI 48126-1347

Mailing address

14716 W Warren Ave
Suite 100
Dearborn, MI 48126-1347

National Provider Directory

National Provider Directory

Locations

14716 W Warren Ave
#100
Dearborn, MI 48126
Phone (248) 719-6550

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1710201207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14716 W WARREN AVE",
            "address_2": "SUITE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14716 W WARREN AVE",
            "address_2": "SUITE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261347",
            "telephone_number": "313-581-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT HOME VISITING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "ABOUTAAM",
        "authorized_official_first_name": "ALAA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-581-8585",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.