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MY HOME MD, PLCC
NPI 1053392167
Home Health in Warren, MI

Active since November 07, 2005
28855 VAN DYKE AVE, WARREN, MI 48093(586) 558-9545(586) 558-9541 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About My Home Md, Plcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY HOME MD, PLCC (NPI 1053392167) is a healthcare organization registered as a home health in Warren, Michigan and active in the NPI registry since November 2005. The organization lists William H. Haithco, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053392167
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMY HOME MD, PLCC
Location Address28855 VAN DYKE AVEWarren, MI 48093-2744
Mailing Address28855 Van Dyke AveWarren, MI 48093-2744 · (586) 558-9545 · Fax (586) 558-9541
Phone(586) 558-9545
Fax(586) 558-9541
Organization SubpartNo
Authorized OfficialWilliam H. HaithcoExecutive Director · (586) 558-9545
Enumeration DateNovember 7, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053392167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
28855 VAN DYKE AVE, Warren, MI 48093
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is My Home MD, Plcc's NPI number?

The NPI number for My Home MD, Plcc is 1053392167. It was assigned to this organization in the NPPES registry on November 7, 2005.

Where is My Home MD, Plcc located?

My Home MD, Plcc is located at 28855 Van Dyke Ave, Warren, MI 48093. The listed phone number is (586) 558-9545.

What is My Home MD, Plcc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for My Home MD, Plcc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.