Dynasty Hospice Care of Mi

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

4704125563 Issued in MI

Legal business name

DYNASTY HOSPICE CARE OF MI

Practice address

20266 Lennon St
Harper Woods, MI 48225-1604

Phone

(313) 404-3879

NPI assigned

Mar 23, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Toni M Green, NURSE PRACTITIONER

Title

Owner

Phone

(313) 404-3879

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1871869842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20266 LENNON ST",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251604",
            "telephone_number": "313-404-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20266 LENNON ST",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251604",
            "telephone_number": "313-404-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY HOSPICE CARE OF MI",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-404-3879",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "4704125563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Harper Woods, MI
• Providers in Harper Woods, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.