Professional Care, Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

PROFESSIONAL CARE, INC.

Practice address

2703 Tall Timbers Dr
Milford, MI 48380-3844

Phone

(248) 705-7775

Fax

(248) 685-9799

NPI assigned

Oct 8, 2014

Last updated

Oct 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig S. Tyl

Title

President

Phone

(248) 705-7775

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1942603634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 TALL TIMBERS DR",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483803844",
            "telephone_number": "248-705-7775",
            "fax_number": "248-685-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 TALL TIMBERS DR",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483803844",
            "telephone_number": "248-705-7775",
            "fax_number": "248-685-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "TYL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-705-7775"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.