Carol Davis

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

AS820405667 Issued in MI

Practice address

20428 Norborne
Redford, MI 48240-1109

Phone

(313) 492-8951

Fax

(248) 282-0658

NPI assigned

Oct 19, 2021

Last updated

Oct 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• My Peaceful Refuge, LLC

  • Home Health Agency
  • Redford, MI
  • NPI 1487317210
  NPD Authorized official

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1043973878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 SOUTH BLVD UNIT 175",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483037007",
            "telephone_number": "313-492-8951",
            "fax_number": "248-282-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20428 NORBORNE",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482401109",
            "telephone_number": "313-492-8951",
            "fax_number": "248-282-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CAROL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": "AS820405667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.mypeacefulrefuge@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XLS",
            "address_1": "20428 Norborne",
            "city": "Redford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482401109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.mypeacefulrefuge@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XLS",
            "address_1": "20428 Norborne",
            "city": "Redford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482401109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lanesha Dann-Hightower
• Nicole Darby, RN
• Anjanette Davenport Hatter, LMSW
• David Adams
• Brenda Kaye Davidson
• Kejuan Deshawn Davis
• Abigail Dawson
• James Walter Decapite, D.D.S.
• Deliverance Home Care Agency
• Dental Inc

• Home Health Aide in Redford, MI
• Providers in Redford, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.