Active NPI
Dyna Care Home Health Inc
- Home Health Agency
- Warren, MI
National Provider Identifier
1770645277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E894 | Other | MI | BLUECROSS BLUESHIELD |
| 3319746 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.