Home Clinic PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

HOME CLINIC PC

Practice address

23999 Northwestern Hwy
Suite 110
Southfield, MI 48075-2578

Phone

(248) 909-9494

NPI assigned

Apr 10, 2009

Organization subpart

No

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

Authorized official

Name

Paul Petre, MDNPI 1023145232

Title

President

Phone

(248) 909-9494

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Home Clinic PC

  • Non-Pharmacy Dispensing Site
  • Southfield, MI
  • NPI 1710202825
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul M Petre, M.D.

  • Internal Medicine Physician
  • Oak Park, MI
  • NPI 1023145232
  NPD (past) Authorized official
• Eugene N Chardoul, M.D.

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1154360378
  NPD (past)
• John D Mellen, MD

  • Diagnostic Radiology Physician
  • Bloomfield Hills, MI
  • NPI 1437181146
  NPD (past)

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1962645689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23999 NORTHWESTERN HWY",
            "address_2": "SUITE 110",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752578",
            "telephone_number": "248-909-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23999 NORTHWESTERN HWY",
            "address_2": "SUITE 110",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752578",
            "telephone_number": "248-909-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "PETRE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-909-9494",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holy Temple Church Adult Day Care Center
• Home Away From Home Group Home
• Home Care Service LLC
• Home Clinic Group PC
• Home Clinic PC
• Home Health Care Talents Inc.
• Home Health of America Inc
• Home Help and Care Inc
• Home Help Assistance, Inc
• Home Physician Services PC

• General Practice Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.