Individual provider Active NPI

Thomas Da-Silva

  • Chore Provider
  • Taylor, MI
National Provider Identifier
1770357543
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
Practice address
25881 Maple Dr
Taylor, MI 48180-9313
Phone
(313) 452-5234
NPI assigned
Nov 13, 2023
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X NU Primary
Licensed Practical Nurse 164W00000X 4703117964 MI

Addresses

Primary practice location

25881 Maple Dr
Taylor, MI 48180-9313

Mailing address

25881 Maple Dr
Taylor, MI 48180-9313
Phone (313) 452-5234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4703117964MIMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New Dawn Health and Staffing LLC Multi-Specialty CurrentSince Dec 24, 2023 Accepting new patients
Michigan Home Help Services LLC Multi-Specialty Current Accepting new patients
New Dawn LLC CurrentSince Dec 10, 2023 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1770357543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25881 MAPLE DR",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481809313",
            "telephone_number": "313-452-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25881 MAPLE DR",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481809313",
            "telephone_number": "313-452-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA-SILVA",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703117964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.