Adult Home Help

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

007386671 Issued in MI

Legal business name

ADULT HOME HELP

Practice address

4071 Green Isle Way
#2
Saginaw, MI 48603-1416

Phone

(989) 790-3167

NPI assigned

Jan 31, 2016

Organization subpart

No

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

Authorized official

Name

Janice Mazique

Title

Home Help

Phone

(989) 790-3167

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1454198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454198400000",
    "number": "1851759203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 GREEN ISLE WAY",
            "address_2": "#2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031416",
            "telephone_number": "989-790-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 GREEN ISLE WAY",
            "address_2": "#2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031416",
            "telephone_number": "989-790-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT HOME HELP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-31",
        "last_updated": "2016-01-31",
        "status": "A",
        "authorized_official_last_name": "MAZIQUE",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "HOME HELP",
        "authorized_official_telephone_number": "989-790-3167"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "007386671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIHEALTH CARD",
            "identifier": "77386671",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CLAIM NUMBER",
            "identifier": "358365794B6",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2016; 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.