EVANGELICAL HOME CARE,LLC (NPI# 1619599768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619599768 |
| Entity Type | Organization |
| Organization Name | EVANGELICAL HOME CARE,LLC |
| Practice Address |
23800 W 10 Mile Rd Ste 108 Southfield MI 48033-3194 |
| Practice Telephone | 2483025194 |
| Practice Fax Number | 2485599663 |
| Mailing Telephone | 2483025194 |
| Mailing Fax Number | 2485599663 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-19 |
| Authorized Official Name | MISS GENEROSA F AGUSTIN (ADMINISTRATOR) |
| Authorized Official Telephone | 2483025194 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
23800 W 10 MILE RD STE 108 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-3194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424316 | Acute Residential Care LLC | Home Health | 17800 Northland Park Ct Ste 103, Southfield, MI 48075-4304 | 2020-10-12 |
| 1396355533 | Front Line Home Health Care Inc | Home Health | 26645 W 12 Mile Rd Ste 210, Southfield, MI 48034-7812 | 2020-08-03 |
| 1669080669 | Anjela's Helping Hands | Home Health | 22145 Maplewood Dr, Southfield, MI 48033-5945 | 2020-07-16 |
| 1306467493 | A-four Inc | Home Health | 25800 W 11 Mile Rd, Southfield, MI 48034-6196 | 2020-04-30 |
| 1063048445 | Eden At Home LLC | Home Health | 29185 Tiffany Dr W, Southfield, MI 48034-4545 | 2020-03-18 |
| 1689208605 | Geppetto's Heart | Home Health | 24555 Southfield Rd Ste 100, Southfield, MI 48075-2788 | 2020-02-28 |
| 1144866500 | Tbiy LLC | Home Health | 25172 Maplebrooke Dr, Southfield, MI 48033-5282 | 2019-11-20 |
| 1689227803 | Omega Home Healthcare Services | Home Health | 24901 Northwestern Hwy Ste 314c, Southfield, MI 48075-2207 | 2019-07-17 |
| 1114588308 | Vital Home Health LLC | Home Health | 24001 Southfield Rd Ste 203c, Southfield, MI 48075-2847 | 2019-06-27 |
| 1376106500 | Ezzy; Inc | Home Health | 28425 Brooks Ln, Southfield, MI 48034-2090 | 2019-04-14 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.