Active NPI
Meadow Oaks Home Care LLC
- Home Health Agency
- Oak Park, MI
National Provider Identifier
1962254920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MEADOW OAKS HOME CARE LLC
- Practice address
- 21601 Cloverlawn St
Oak Park, MI 48237-2630 - Phone
- (131) 360-5608
- NPI assigned
- Apr 3, 2024
- Last updated
- Apr 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Akilia Wells-Jackson, RN
- Title
- Owner/RN
- Phone
- (313) 626-0220
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| PACE Provider Organization | 251T00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
21601 Cloverlawn St
Oak Park, MI 48237-2630
Mailing address
21601 Cloverlawn St
Oak Park, MI 48237-2630
Phone (313) 605-6080
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Registered Nurse
- Oak Park, MI
- NPI 1265140826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712102400000",
"number": "1962254920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21601 CLOVERLAWN ST",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482372630",
"telephone_number": "313-605-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21601 CLOVERLAWN ST",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482372630",
"telephone_number": "131-360-5608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEADOW OAKS HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-03",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A",
"authorized_official_last_name": "WELLS-JACKSON",
"authorized_official_first_name": "AKILIA",
"authorized_official_title_or_position": "OWNER/RN",
"authorized_official_telephone_number": "313-626-0220",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.