Active NPI
In-Home Help Agency LLC
- In Home Supportive Care Agency
- Detroit, MI
National Provider Identifier
1982062394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 7908906
- Legal business name
- IN-HOME HELP AGENCY LLC
- Practice address
- 8904 Woodward Ave
Detroit, MI 48202-1821 - Phone
- (248) 416-8332
- NPI assigned
- Feb 1, 2016
- Last updated
- Feb 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kokoete Etim
- Title
- Owner/Ceo
- Phone
- (248) 416-8332
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | 7908906 | MI | Primary |
Addresses
Primary practice location
8904 Woodward Ave
Detroit, MI 48202-1821
Mailing address
8904 Woodward Ave
Detroit, MI 48202-1821
Phone (248) 416-8332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7908906 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455321600000",
"number": "1982062394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8904 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482021821",
"telephone_number": "248-416-8332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8904 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482021821",
"telephone_number": "248-416-8332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN-HOME HELP AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-01",
"last_updated": "2016-02-13",
"status": "A",
"authorized_official_last_name": "ETIM",
"authorized_official_first_name": "KOKOETE",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "248-416-8332",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MI",
"license": "7908906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7908906",
"state": "MI"
}
],
"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 Feb 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.