NPIMap

Organization Active NPI

Wooden Group Home Help

  • In Home Supportive Care Agency
  • Southfield, MI
National Provider Identifier
1871224246
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WOODEN GROUP HOME HELP
Practice address
22800 Civic Center Dr Apt 103-a
Southfield, MI 48033-7140
Phone
(248) 763-7101
NPI assigned
Jun 17, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Dawon Wooden
Title
Ceo
Phone
(248) 763-7101

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X NU
Case Management Agency 251B00000X NU
Home Health Agency 251E00000X NU
Nursing Care Agency 251J00000X NU
Physical Therapy Clinic/Center 261QP2000X NU
VA Clinic/Center 261QV0200X NU
In Home Supportive Care Agency 253Z00000X NU Primary
Meals Provider 174200000X NU

Addresses

Primary practice location

22800 Civic Center Dr Apt 103-a
Southfield, MI 48033-7140

Mailing address

22800 Civic Center Dr Apt 103-a
Southfield, MI 48033-7140
Phone (248) 763-7101

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address woodengrouphomhelp@outlook.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1871224246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22800 CIVIC CENTER DR APT 103-A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480337140",
            "telephone_number": "248-763-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22800 CIVIC CENTER DR APT 103-A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480337140",
            "telephone_number": "248-763-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODEN GROUP HOME HELP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "WOODEN",
        "authorized_official_first_name": "DAWON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-763-7101"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "woodengrouphomhelp@outlook.com",
            "affiliation": "N",
            "address_1": "22800 Civic Center Dr Apt 103-A",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480337140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 3, 2022; 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.