Active NPI
Eleanor Parnell, R.N.
- Nursing Care Agency
- Detroit, MI
National Provider Identifier
1043863707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 4704264494
- Practice address
- 4229 Humboldt St
Detroit, MI 48208-2520 - Phone
- (313) 971-3040
- NPI assigned
- Jul 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 4704264494 | MI | Primary |
Addresses
Primary practice location
4229 Humboldt St
Detroit, MI 48208-2520
Mailing address
4229 Humboldt St
Detroit, MI 48208-2520
Phone (313) 971-3040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704264494 | MI | MD | Nursing Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1043863707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4229 HUMBOLDT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482082520",
"telephone_number": "313-971-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4229 HUMBOLDT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482082520",
"telephone_number": "313-971-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARNELL",
"first_name": "ELEANOR",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "MI",
"license": "4704264494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.