Organization Active NPI

Domestic Life Services LLC

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1972104867
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DOMESTIC LIFE SERVICES LLC
Practice address
11662 Heyden St
Detroit, MI 48228-1047
Phone
(313) 471-9913
NPI assigned
Nov 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Angelique N Seta
Title
Home Health Service Provider
Phone
(313) 471-9913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11662 Heyden St
Detroit, MI 48228-1047

Mailing address

11662 Heyden St
Detroit, MI 48228-1047
Phone (313) 471-9913

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1972104867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11662 HEYDEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281047",
            "telephone_number": "313-471-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11662 HEYDEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281047",
            "telephone_number": "313-471-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMESTIC LIFE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "SETA",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "HOME HEALTH SERVICE PROVIDER",
        "authorized_official_telephone_number": "313-471-9913"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.