Primary Care Nurses Home Healthcare LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

PRIMARY CARE NURSES HOME HEALTHCARE LLC

Practice address

22777 Harper Ave Ste 103C
Saint Clair Shores, MI 48080-1810

Phone

(586) 779-3129

Fax

(586) 779-3282

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Laynette Goudy-Egger, NURSE PRACTITIONER

Title

Administrator

Phone

(586) 779-3129

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962520221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22777 HARPER AVE STE 103C",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801810",
            "telephone_number": "586-779-3129",
            "fax_number": "586-779-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22777 HARPER AVE STE 103C",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801810",
            "telephone_number": "586-779-3129",
            "fax_number": "586-779-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE NURSES HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOUDY-EGGER",
        "authorized_official_first_name": "LAYNETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "586-779-3129",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 22, 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.