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RESIDENTIAL HOME HEALTHCARE
NPI 1902202716
Clinic/Center - Primary Care in Warren, MI

Active since November 06, 2014
11477 E 12 MILE RD, WARREN, MI 48093(586) 751-0200(586) 751-0414 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Residential Home Healthcare NPPES

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

RESIDENTIAL HOME HEALTHCARE (NPI 1902202716) is a healthcare organization registered as a primary care in Warren, Michigan and active in the NPI registry since November 2014. The organization lists Jeff Micheal Mastin, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1902202716
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRESIDENTIAL HOME HEALTHCARE
Location Address11477 E 12 MILE RDWarren, MI 48093-2678
Mailing Address11477 E 12 Mile RdWarren, MI 48093-2678 · (586) 751-0200 · Fax (586) 751-0414
Phone(586) 751-0200
Fax(586) 751-0414
Organization SubpartNo
Authorized OfficialJeff Micheal MastinAdministrative Assistant · (586) 751-0200
Enumeration DateNovember 6, 2014
✔ NPI 1902202716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Licenses✔ Licensed in MI · 5101006690✔ Licensed in MI · 4301025138✔ Licensed in MI · 4301046450✔ Licensed in MI · 4301095717
Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X · License 5901000447 (MI), 5901001570 (MI), 5901000468 (MI)
11477 E 12 MILE RD, Warren, MI 48093
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Other Providers at the Same Location NPPES 4

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

ROBERT J GREEN DPM
Podiatrist
11477 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 751-0200
GEORGE E METROPOULOS MD
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
11477 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 751-0200
BENCHMARK HEALTH PC
Internal Medicine
11477 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 751-0200
SANGANUR V. MAHADEVAN M.D.
General Practice
11477 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 751-0200

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 Residential Home Healthcare's NPI number?

The NPI number for Residential Home Healthcare is 1902202716. It was assigned to this organization in the NPPES registry on November 6, 2014.

Where is Residential Home Healthcare located?

Residential Home Healthcare is located at 11477 E 12 Mile Rd, Warren, MI 48093. The listed phone number is (586) 751-0200.

What is Residential Home Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Residential Home Healthcare was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.