Healthcare Provider Details

I. General information

NPI: 1437048402
Provider Name (Legal Business Name): JENNIFER HOUGHTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 COOPER ST
MONROE MI
48161-1676
US

IV. Provider business mailing address

13709 YORK BLVD
GARFIELD HEIGHTS OH
44125-4058
US

V. Phone/Fax

Practice location:
  • Phone: 734-331-0222
  • Fax: 734-331-0222
Mailing address:
  • Phone: 734-331-0222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number602998900325
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code282J00000X
TaxonomyReligious Nonmedical Health Care Institution
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License NumberRP953528
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number602998900325
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number602998900325
License Number StateOH
# 7
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberRP953528
License Number StateOH
# 8
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License NumberRP953528
License Number StateOH
# 9
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License NumberRP953528
License Number StateOH
# 10
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberRP953528
License Number StateOH
# 11
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number602998900325
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: