NPIMap

Organization Active NPI

Elite Home Physicians PLLC

  • General Practice Physician
  • Garden City, MI
National Provider Identifier
1811203789
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301038699 Issued in MI
Legal business name
ELITE HOME PHYSICIANS PLLC
Practice address
30108 Ford Rd
Garden City, MI 48135-2370
Phone
(734) 956-5821
NPI assigned
Aug 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Mrs. Rania M Beydoun, PANPI 1326291428
Title
Owner
Phone
(734) 956-5821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 4301038699 MI Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 5601005435 MI

Addresses

Primary practice location

30108 Ford Rd
Garden City, MI 48135-2370

Mailing address

30108 Ford Rd
Garden City, MI 48135-2370
Phone (734) 956-5821

National Provider Directory

National Provider Directory

Locations

30108 Ford Rd
Garden City, MI 48135
Phone (734) 956-5821

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1811203789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30108 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352370",
            "telephone_number": "734-956-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30108 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352370",
            "telephone_number": "734-956-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-29",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "RANIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-956-5821",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301038699",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.