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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MOMBA HOME CARE MICHIGAN, LLC
NPI 1265260566
In Home Supportive Care in Dearborn, MI

Active since July 26, 2024
3200 GREENFIELD RD STE 300, DEARBORN, MI 48120(248) 290-9621 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 21, 2026, May 29, 2025, Dec 4, 2024 and 1 more (4 updates tracked since 2024).

About Momba Home Care Michigan, Llc NPPES

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

MOMBA HOME CARE MICHIGAN, LLC (NPI 1265260566) is a healthcare organization registered as an in home supportive care in Dearborn, Michigan and active in the NPI registry since July 2024. The organization lists Elazar Huisman, Npi Manager, as its authorized official.

NPPES Registry Identity

NPI1265260566
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameMOMBA HOME CARE MICHIGAN, LLC
Location Address3200 GREENFIELD RD STE 300Dearborn, MI 48120-1805
Mailing Address400 Perimeter Center Ter Ne Ste 300Atlanta, GA 30346-1201 · (248) 290-9621
Phone(248) 290-9621
Organization SubpartNo
Authorized OfficialElazar HuismanNpi Manager · (404) 418-7484
Enumeration DateJuly 26, 2024
Last NPPES UpdateJune 30, 20264 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1265260566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

3200 GREENFIELD RD STE 300, Dearborn, MI 48120
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OPEX PROFESSIONAL HOME CARE INC
Home Health
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Wayne County (248) 506-9098
ROKIA ZUHAIR ALWAJED
Home Health Aide
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Wayne County (734) 881-0838
PRIMEHEALTH OF MICHIGAN LLC
Podiatrist
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Wayne County (844) 882-3127
SANDHYA JAIN
Nurse Practitioner (Primary Care)
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Wayne County (313) 334-6395
VANIDA XIONG
Behavior Analyst
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Wayne County (818) 345-2345
ANDREANA MAJOR
Social Worker (Clinical)
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Wayne County (734) 833-1099
JOSHUA D COURTER
Behavior Technician
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Wayne County (313) 315-5337
DESTINY JOHNSON
Behavior Technician
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Wayne County (313) 315-5337

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 Momba Home Care Michigan, LLC's NPI number?

The NPI number for Momba Home Care Michigan, LLC is 1265260566. It was assigned to this organization in the NPPES registry on July 26, 2024.

Where is Momba Home Care Michigan, LLC located?

Momba Home Care Michigan, LLC is located at 3200 Greenfield Rd Ste 300, Dearborn, MI 48120. The listed phone number is (248) 290-9621.

What is Momba Home Care Michigan, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Momba Home Care Michigan, LLC was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.