Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Residential Home Healthcare

Organization Podiatric Clinic/Center · NPI 1902202716

Residential Home Healthcare is a Podiatric Clinic/Center in Warren, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
Specialties on file
7

Practice location Address checks out

11477 E 12 Mile Rd
Warren, MI 48093-2678
Phone: (586) 751-0200
Fax: (586) 751-0414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 5101006690 (MI)
Podiatric Clinic/Center Taxonomy 261QP1100X · Licence 5901000447 (MI)
Podiatric Clinic/Center Taxonomy 261QP1100X · Licence 5901001570 (MI)
Podiatric Clinic/Center Taxonomy 261QP1100X · Licence 5901000468 (MI)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 4301025138 (MI)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 4301046450 (MI)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 4301095717 (MI)

Record details

NPI number1902202716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Mastin — Administrative Assistant · (586) 751-0200
NPI enumeratedNovember 6, 2014
Last updated in NPPESNovember 6, 2014
Mailing address11477 E 12 Mile Rd, Warren, MI 48093-2678