Organization Active NPI

Masterliving, Inc.

  • Home Health Aide
  • Canton, MI
National Provider Identifier
1801540505
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
MASTERLIVING, INC.
Practice address
7714 Rutherford CT
Canton, MI 48187-1244
Phone
(734) 751-6431
Fax
(734) 467-5808
NPI assigned
Feb 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Nina Hicks
Title
President
Phone
(734) 751-6431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

7714 Rutherford CT
Canton, MI 48187-1244

Mailing address

23636 Michigan Ave # 439
Dearborn, MI 48124-1910
Phone (734) 751-6431

National Provider Directory

National Provider Directory

Locations

23636 Michigan Ave
#439
Dearborn, MI 48124

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1801540505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23636 MICHIGAN AVE # 439",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241910",
            "telephone_number": "734-751-6431",
            "fax_number": "734-467-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7714 RUTHERFORD CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871244",
            "telephone_number": "734-751-6431",
            "fax_number": "734-467-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERLIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-751-6431"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 10, 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.

Verify at the official NPI Registry.