Organization Active NPI

Avanta Home Health Care Services, Inc.

  • Home Health Agency
  • Lathrup Village, MI
National Provider Identifier
1982844262
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AVANTA HOME HEALTH CARE SERVICES, INC.
Practice address
28880 Southfield Rd Ste 181
Lathrup Village, MI 48076-2700
Phone
(248) 563-1989
NPI assigned
Feb 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Carmelita Joquico, RN, BSN
Title
Owner
Phone
(248) 563-1989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

28880 Southfield Rd Ste 181
Lathrup Village, MI 48076-2700

Mailing address

28880 Southfield Rd Ste 181
Lathrup Village, MI 48076-2700
Phone (248) 563-1989

National Provider Directory

National Provider Directory

Locations

28880 Southfield Rd
Ste 181
Lathrup Village, MI 48076
Phone (248) 563-1989

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1982844262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28880 SOUTHFIELD RD STE 181",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762700",
            "telephone_number": "248-563-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28880 SOUTHFIELD RD STE 181",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762700",
            "telephone_number": "248-563-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTA HOME HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "JOQUICO",
        "authorized_official_first_name": "CARMELITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-563-1989",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.