Organization Active NPI

Kenvic Healthcare PLC

  • Health Service Clinic/Center
  • Westland, MI
National Provider Identifier
1780121913
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
KENVIC HEALTHCARE PLC
Practice address
30629 Grandview Ave
Westland, MI 48186-5058
Phone
(734) 326-2714
Fax
(734) 326-2714
NPI assigned
Jan 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Mr. Francis Awosika, NP
Title
President
Phone
(734) 326-2714

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

30629 Grandview Ave
Westland, MI 48186-5058

Mailing address

30629 Grandview Ave
Westland, MI 48186-5058
Phone (734) 326-2714

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1780121913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30629 GRANDVIEW AVE",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865058",
            "telephone_number": "734-326-2714",
            "fax_number": "734-326-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30629 GRANDVIEW AVE",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865058",
            "telephone_number": "734-326-2714",
            "fax_number": "734-326-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENVIC HEALTHCARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "AWOSIKA",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-326-2714",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.