Organization Active NPI

Dyna Care Home Health Inc

  • Home Health Agency
  • Warren, MI
National Provider Identifier
1770645277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DYNA CARE HOME HEALTH INC
Practice address
27301 Schoenherr Rd
Suite 103
Warren, MI 48088-6649
Phone
(586) 759-9971
Fax
(586) 759-8332
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Abiturab Boxwalla
Title
President
Phone
(708) 560-2925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MI Primary

Addresses

Primary practice location

27301 Schoenherr Rd
Suite 103
Warren, MI 48088-6649

Mailing address

4800 W 129TH St
Alsip, IL 60803-3016

Other identifiers 2

IdentifierTypeStateIssuer
0E894OtherMIBLUECROSS BLUESHIELD
3319746MedicaidMI

National Provider Directory

National Provider Directory

Locations

4800 W 129th St
Merrionette Park, IL 60803
Phone (708) 377-2169

22750 Woodward Ave
Ste 200
Ferndale, MI 48220
Phone (708) 389-2700

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770645277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W 129TH ST",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608033016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27301 SCHOENHERR RD",
            "address_2": "SUITE 103",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886649",
            "telephone_number": "586-759-9971",
            "fax_number": "586-759-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNA CARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOXWALLA",
        "authorized_official_first_name": "ABITURAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-560-2925",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0E894",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3319746",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.