LIFE CARE AT HOME OF MICHIGAN INC (NPI# 1811941461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811941461 |
| Entity Type | Organization |
| Organization Name | LIFE CARE AT HOME OF MICHIGAN INC |
| Other Organization Name | AFFINITY HOSPICE OF LIFE |
| Practice Address |
15450 Northline Rd Suite 102 Southgate MI 48195-2398 |
| Mailing Address |
3001 Keith St Nw Cleveland TN 37312-3713 |
| Practice Telephone | 7342844315 |
| Practice Fax Number | 7342846125 |
| Mailing Telephone | 4234735280 |
| Mailing Fax Number | 4233398356 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2013-01-24 |
| Authorized Official Name | PAM RAU (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 4234735280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 001 | MI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD MICHIGAN | 08734 | 01 |
| MI | 155177372 | 05 |
| Other Name | Type Code |
|---|---|
| AFFINITY HOSPICE OF LIFE | Doing Business As Name - Organization |
| Street Address |
15450 NORTHLINE RD SUITE 102 |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740252089 | Ladan Amini-oroumi | Internal Medicine | 15450 Northline Rd, Ste 101, Southgate, MI 48195-2398 | 2006-02-02 |
| 1295356772 | Priority 1 Health Pllc | Family Medicine | 15450 Northline Rd, Southgate, MI 48195-2398 | 2020-05-06 |
| 1952968836 | Kristen Marie Conner | Physician Assistant | 15450 Northline Rd, Southgate, MI 48195-2398 | 2019-05-25 |
| 1407211253 | Family Health Pharmacy LLC | Pharmacy | 15450 Northline Rd, Ste 102, Southgate, MI 48195-2398 | 2015-12-21 |
| 1588976013 | Amanda Dyan Zilka | Physician Assistant | 15450 Northline Rd, Ste 101, Southgate, MI 48195-2398 | 2010-07-13 |
| 1912234386 | Ladan Amini Md PC | Internal Medicine | 15450 Northline Rd, Suite 101, Southgate, MI 48195-2398 | 2009-11-05 |
| 1487862140 | Lamis,inc. | Internal Medicine | 15450 Northline Rd, Suite 101, Southgate, MI 48195-2398 | 2007-05-18 |
| 1881621688 | Ammar Kanaan | Internal Medicine | 15450 Northline Rd, Suite 101, Southgate, MI 48195-2398 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073936787 | Heart To Heart Hospice of Southgate, LLC | Hospice Care, Community Based | 1 Heritage Dr Ste 107, Southgate, MI 48195-3736 | 2014-01-31 |
| 1346517083 | Family First Home Health & Hospice Care Inc | Hospice Care, Community Based | 1 Heritage Dr, Suite 440, Southgate, MI 48195-3094 | 2011-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487550 | Hope Hospice and Palliative Care LLC | Hospice Care, Community Based | 27680 Franklin Rd, Southfield, MI 48034-8203 | 2020-11-06 |
| 1356958649 | Serenity Hospice Care LLC | Hospice Care, Community Based | 33620 Five Mile Rd, Livonia, MI 48154-2866 | 2020-09-30 |
| 1467067983 | Asr Hospice Care, LLC | Hospice Care, Community Based | 1509 S State Rd Ste B, Davison, MI 48423-1966 | 2020-09-11 |
| 1578176038 | Intelicare Hospice Services IIi, LLC | Hospice Care, Community Based | 6060 Torrey Rd Ste J, Flint, MI 48507-5963 | 2020-08-25 |
| 1851909741 | Trillium House, Inc. | Hospice Care, Community Based | 1144 Northland Dr, Marquette, MI 49855-4408 | 2020-07-17 |
| 1568086056 | John Paul Home Hospice LLC | Hospice Care, Community Based | 30800 Telegraph Rd Ste 3700, Bingham Farms, MI 48025-4583 | 2020-06-01 |
| 1992331128 | Careline Health Group - Mi LLC | Hospice Care, Community Based | 113 W Michigan Ave Ste 1024th, Jackson, MI 49201-1340 | 2020-03-19 |
| 1659906220 | Optimal Care, Inc. | Hospice Care, Community Based | 30600 Telegraph Rd Ste 3275, Bingham Farms, MI 48025-5718 | 2020-03-04 |
| 1881234862 | Hope Hospice LLC | Hospice Care, Community Based | 26645 W 12 Mile Rd Ste 211, Southfield, MI 48034-7812 | 2020-01-08 |
| 1124665088 | Hospice of Compassion, Inc | Hospice Care, Community Based | 23300 Greenfield Rd Ste 206, Oak Park, MI 48237-8409 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
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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.