Allen Park Footcare Specialist PLLC
NPI 1790883056 · Podiatric Clinic/Center · Allen Park, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Allen Park Footcare Specialist PLLC is a Podiatric Clinic/Center organization in Allen Park, MI (NPI 1790883056).
Provider details
- NPI number
- 1790883056
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Homer, Owner(248) 288-8900
- License
- 5901001699 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Brian E. Homer
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2011-11-09
Frequently asked questions
- What is Allen Park Footcare Specialist PLLC's NPI number?
- Allen Park Footcare Specialist PLLC's National Provider Identifier (NPI) is 1790883056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Allen Park Footcare Specialist PLLC?
- Allen Park Footcare Specialist PLLC is classified in the NPPES registry as Podiatric Clinic/Center (Ambulatory Health Care Facilities).
- Where is Allen Park Footcare Specialist PLLC located?
- Allen Park Footcare Specialist PLLC's practice location on file with NPPES is 19250 Ecorse Rd, Allen Park, MI 48101-2260.
- What is Allen Park Footcare Specialist PLLC's phone number?
- The practice phone number listed in the NPPES registry for Allen Park Footcare Specialist PLLC is (313) 294-9700.
- Does Allen Park Footcare Specialist PLLC accept Medicare?
- Allen Park Footcare Specialist PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Allen Park Footcare Specialist PLLC?
- The authorized official listed on Allen Park Footcare Specialist PLLC's NPPES record is Brian Homer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Allen Park Footcare Specialist PLLC's NPI active?
- Yes — Allen Park Footcare Specialist PLLC's NPI (1790883056) is active in the NPPES registry as of the last update on 2011-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.