Organization Active NPI

Meadow Oaks Home Care LLC

  • Home Health Agency
  • Oak Park, MI
National Provider Identifier
1962254920
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Akilia Wells-Jackson, RNNPI 1265140826
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.