Organization Active NPI

Mariam Health Services PLC

  • Home Health Agency
  • Canton, MI
National Provider Identifier
1770811788
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
D30481OtherMIMICHIGAN DEPT OF LABOUR AND ECONOMIC GROWT

National Provider Directory

National Provider Directory
Tax ID family
Mariam Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.