Suji Home LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

AS390383907 Issued in MI

Legal business name

SUJI HOME LLC

Doing business as

none

Practice address

319 N Sage St
Kalamazoo, MI 49006-4040

Phone

(269) 341-4337

NPI assigned

Mar 13, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frida Reuben Boyd

Title

Owner/Licensee

Phone

(269) 207-5965

Specialties & licenses 1

Addresses

Other names 1

• none Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1023559853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N SAGE ST",
            "address_2": "319 NORTH SAGE STREET",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064040",
            "telephone_number": "269-341-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N SAGE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064040",
            "telephone_number": "269-341-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUJI HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "FRIDA",
        "authorized_official_middle_name": "REUBEN",
        "authorized_official_title_or_position": "OWNER/LICENSEE",
        "authorized_official_telephone_number": "269-207-5965"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": "AS390383907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susanna Elizabeth Such, NP-C
• Marshe Suderman, FNP, CNS
• Sue E Ryder LLC
• Kelsey Suggs, MD
• Fnu Suha Tarannum, MD
• Shuaib Sulaiman
• Jordan Sullenberger
• Alexander William Sullivan, MSW
• Corbin Draper Sullivan, M.D.
• Jacqueline Sullivan

• Community Health Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.