Active NPI
Dynamic Home Care
- Home Health Aide
- Southfield, MI
National Provider Identifier
1851209316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- DYNAMIC HOME CARE
- Practice address
- 30431 Ventura St
Southfield, MI 48076-1215 - Phone
- (248) 514-0975
- NPI assigned
- Aug 27, 2026
- 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
- Anisha L Jordan, LICENSED AFC HOME PR
- Title
- Executive Director
- Phone
- (248) 514-0975
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
30431 Ventura St
Southfield, MI 48076-1215
Mailing address
28475 Greenfield Rd # 110
Southfield, MI 48076-3034
Phone (248) 514-0975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1851209316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28475 GREENFIELD RD # 110",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763034",
"telephone_number": "248-514-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30431 VENTURA ST",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480761215",
"telephone_number": "248-514-0975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "ANISHA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "248-514-0975",
"authorized_official_credential": "LICENSED AFC HOME PR"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"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 Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.