Idera Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

D21078 Issued in MI

Legal business name

IDERA HOME HEALTHCARE LLC

Practice address

41450 E Archwood Dr
Suite B225
Belleville, MI 48111-4523

Phone

(734) 697-9966

Fax

(734) 697-9966

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Aderemi A Aregbe

Title

Director

Phone

(734) 697-9966

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1972783835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41450 E ARCHWOOD DR",
            "address_2": "SUITE B225",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481114523",
            "telephone_number": "734-697-9966",
            "fax_number": "734-697-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41450 E ARCHWOOD DR",
            "address_2": "SUITE B225",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481114523",
            "telephone_number": "734-697-9966",
            "fax_number": "734-697-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDERA HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "AREGBE",
        "authorized_official_first_name": "ADEREMI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-697-9966",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "D21078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Belleville, MI
• Providers in Belleville, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.