Active NPI
Audre S Johnson
- Home Health Agency
- Ypsilanti, MI
National Provider Identifier
1790410108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 9723 Gardner St Lot 180
Ypsilanti, MI 48198-9489 - Phone
- (734) 330-1868
- NPI assigned
- Jul 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
9723 Gardner St Lot 180
Ypsilanti, MI 48198-9489
Mailing address
9723 Gardner St Lot 180
Ypsilanti, MI 48198-9489
Phone (734) 330-1868
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | betterlivingaffinity@gmail.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Living Affinity LLC | Home Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1790410108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9723 GARDNER ST LOT 180",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481989489",
"telephone_number": "734-330-1868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9723 GARDNER ST LOT 180",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481989489",
"telephone_number": "734-330-1868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AUDRE",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "betterlivingaffinity@gmail.com",
"affiliation": "N",
"endpointDescription": "Email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "PDF, JPG, PNG,",
"address_1": "9723 Gardner St Lot 180",
"city": "Ypsilanti",
"state": "MI",
"country_code": "US",
"postal_code": "481989489",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.