Active NPI
Mariam Health Services PLC
- Home Health Agency
- Canton, MI
National Provider Identifier
1770811788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MARIAM HEALTH SERVICES PLC
- Practice address
- 42000 Koppernick Rd
Ste a-7
Canton, MI 48187-4282 - Phone
- (734) 254-0092
- Fax
- (734) 254-0180
- NPI assigned
- Dec 2, 2009
- Last updated
- Dec 2, 2009
- 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
- Mrs. Immaculata Obioma Nwachukwu
- Title
- Director
- Phone
- (734) 254-0092
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MI | Primary |
Addresses
Primary practice location
42000 Koppernick Rd
Ste a-7
Canton, MI 48187-4282
Mailing address
42000 Koppernick Rd
Ste a-7
Canton, MI 48187-4282
Phone (734) 254-0092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D30481 | Other | MI | MICHIGAN DEPT OF LABOUR AND ECONOMIC GROWT |
National Provider Directory
National Provider Directory- Tax ID family
- Mariam Health Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Ypsilanti, MI
- NPI 1255568499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259712000000",
"number": "1770811788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42000 KOPPERNICK RD",
"address_2": "STE A-7",
"city": "CANTON",
"state": "MI",
"postal_code": "481874282",
"telephone_number": "734-254-0092",
"fax_number": "734-254-0180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42000 KOPPERNICK RD",
"address_2": "STE A-7",
"city": "CANTON",
"state": "MI",
"postal_code": "481874282",
"telephone_number": "734-254-0092",
"fax_number": "734-254-0180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIAM HEALTH SERVICES PLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-02",
"last_updated": "2009-12-02",
"status": "A",
"authorized_official_last_name": "NWACHUKWU",
"authorized_official_first_name": "IMMACULATA",
"authorized_official_middle_name": "OBIOMA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "734-254-0092",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN DEPT OF LABOUR AND ECONOMIC GROWT",
"identifier": "D30481",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.