RESIDENTIAL HOME HEALTHCARE NPI 1902202716

NPI Information

NPI: 1902202716
Provider Name: RESIDENTIAL HOME HEALTHCARE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
11477 E 12 MILE RD
WARREN, MI
ZIP 48093
Phone: (586) 751-0200
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RESIDENTIAL HOME HEALTHCARE is a primary care clinic center in Warren, MI. RESIDENTIAL HOME HEALTHCARE NPI is 1902202716. The provider is registered as an organization entity type.

The provider's business location address is:

11477 E 12 MILE RD
WARREN, MI
ZIP 48093-678
Phone: (586) 751-0200
Fax: (586) 751-0414

The provider's authorized official is Jeff Micheal Mastin .
The authorized official title is Administrative Assistant and has the following contact phone number (586) 751-0200.

The enumeration date for this NPI number is 11/6/2014 and was last updated on 11/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric	5901000447	MICHIGAN	No
2	261QP1100X	Clinic/Center	Podiatric	5901001570	MICHIGAN	No
3	261QP1100X	Clinic/Center	Podiatric	5901000468	MICHIGAN	No
4	261QP2300X	Clinic/Center	Primary Care	4301025138	MICHIGAN	No
5	261QP2300X	Clinic/Center	Primary Care	4301046450	MICHIGAN	No
6	261QP2300X	Clinic/Center	Primary Care	4301095717	MICHIGAN	No
7	261QP2300X	Clinic/Center	Primary Care	5101006690	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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