Organization Active NPI

Mary Rose Home Care LLC

  • In Home Supportive Care Agency
  • Farmington Hills, MI
National Provider Identifier
1811758717
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MARY ROSE HOME CARE LLC
Practice address
34119 W 12 Mile Rd Ste 201
Farmington Hills, MI 48331-3300
Phone
(248) 939-1967
NPI assigned
Jan 17, 2024
Last updated
Apr 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Carolyn Arafat
Title
Owner/President
Phone
(248) 931-4122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

34119 W 12 Mile Rd Ste 201
Farmington Hills, MI 48331-3300

Mailing address

34119 W 12 Mile Rd Ste 201
Farmington Hills, MI 48331-3300
Phone (248) 931-4122

National Provider Directory

National Provider Directory

Locations

34119 W 12 Mile Rd
Ste 201
Farmington Hills, MI 48331
Phone (248) 939-1967

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1811758717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34119 W 12 MILE RD STE 201",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313300",
            "telephone_number": "248-931-4122",
            "fax_number": "248-332-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34119 W 12 MILE RD STE 201",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313300",
            "telephone_number": "248-939-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ROSE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "ARAFAT",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "248-931-4122"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.