-

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

-

Practice address

13850 Cambridge St Apt 116
Southgate, MI 48195-3104

Phone

(313) 588-4977

NPI assigned

Jun 30, 2020

Last updated

Jun 30, 2020By 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

Jasmine Johnson

Title

Owner

Phone

(313) 588-4977

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1942827423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13850 CAMBRIDGE ST APT 116",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953104",
            "telephone_number": "313-588-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13850 CAMBRIDGE ST APT 116",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953104",
            "telephone_number": "313-588-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "-",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-588-4977"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 20 20 Contacts - Eyeglasses Inc.
• A.M. Mussani, MD., P.C.
• Mariam Abdul-Hussein Abbas
• Ali Hussein Abdallah, DMD
• Nasri Abdelnour

• Home Health Agency in Southgate, MI
• Providers in Southgate, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.