Tanya Dickerson – Home Health Aide in Ecorse, MI

Key facts

NPI: 1023870409
Entity type: Individual (NPI type 1)
Primary specialty: Home Health Aide 374U00000X
Practice address: 4071 W Jefferson Ave
Ecorse, MI 48229-1736
Phone: (313) 743-1313
NPI assigned: Jan 30, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

T&S We Care Chore Services Home Health Agency · Ecorse, MI · NPI 1063285963

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
T&S We Care Chore Services		Current since Feb 4, 2024	Accepting new patients

Locations

4071 W Jefferson Ave
Ecorse, MI 48229
Phone (313) 743-1313

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Aide	374U00000X			Yes

Addresses

Primary practice location

4071 W Jefferson Ave
Ecorse, MI 48229-1736

Mailing address

4071 W Jefferson Ave
Ecorse, MI 48229-1736
Phone (313) 743-1313

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 30, 2024.

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1023870409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 W JEFFERSON AVE",
            "city": "ECORSE",
            "state": "MI",
            "postal_code": "482291736",
            "telephone_number": "313-743-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 W JEFFERSON AVE",
            "city": "ECORSE",
            "state": "MI",
            "postal_code": "482291736",
            "telephone_number": "313-743-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "TANYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ecorse, MI

All providers in Ecorse, MI · Home Health Aide in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.