Active NPI
King Home Health Care LLC
- Home Health Agency
- Southfield, MI
National Provider Identifier
1831967413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KING HOME HEALTH CARE LLC
- Practice address
- 17125 W 12 Mile Rd
Southfield, MI 48076-2104 - Phone
- (586) 446-2230
- NPI assigned
- Dec 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamed Jassim
- Title
- Ceo
- Phone
- (586) 446-2230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
17125 W 12 Mile Rd
Southfield, MI 48076-2104
Mailing address
17125 W 12 Mile Rd
Southfield, MI 48076-2104
National Provider Directory
National Provider DirectoryLocations
17125 W 12 Mile Rd
Southfield, MI 48076
Phone (313) 465-2740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702857600000",
"number": "1831967413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17125 W 12 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480762104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17125 W 12 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480762104",
"telephone_number": "586-446-2230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KING HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-13",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A",
"authorized_official_last_name": "JASSIM",
"authorized_official_first_name": "MOHAMED",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "586-446-2230"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.