Maxicare Home Health Agency, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAXICARE HOME HEALTH AGENCY, INC

Practice address

28909 Utica Road
Roseville, MI 48066

Phone

(586) 293-1600

Fax

(586) 293-1617

NPI assigned

Jun 8, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Isabel D Tcruz

Title

President/ Ceo

Phone

(586) 293-1600

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1952305906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28909 UTICA ROAD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "48066",
            "telephone_number": "586-293-1600",
            "fax_number": "586-293-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28909 UTICA ROAD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "48066",
            "telephone_number": "586-293-1600",
            "fax_number": "586-293-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXICARE HOME HEALTH AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "TCRUZ",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "586-293-1600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "N/A",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154376433",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0E928",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Roseville, MI
• Providers in Roseville, 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 Apr 7, 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.