Advanced Seniors Healthcare Group, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

23-9053 Issued in MI

Legal business name

ADVANCED SENIORS HEALTHCARE GROUP, INC

Practice address

13001 Capital St
Oak Park, MI 48237-3145

Phone

(248) 213-6067

NPI assigned

Aug 15, 2007

Last updated

Jun 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard C Bryant

Title

Administrator

Phone

(248) 213-6067

Specialties & licenses 1

Addresses

Other names 2

• Advanced Seniors Healthcare Group, Inc Former legal business name
• Lakeshore Home Healthcare Agency Former legal business name

Locations

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1811189665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 CAPITAL ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373145",
            "telephone_number": "248-213-6067",
            "fax_number": "248-419-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 CAPITAL ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373145",
            "telephone_number": "248-213-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SENIORS HEALTHCARE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-213-6067"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "23-9053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Seniors Healthcare Group, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lakeshore Home Healthcare Agency",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Oak Park, MI
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• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.