Organization Active NPI

Athomecare4Seniors

  • In Home Supportive Care Agency
  • Detroit, MI
National Provider Identifier
1053144907
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ATHOMECARE4SENIORS
Practice address
13901 Ardmore St
Detroit, MI 48227-3108
Phone
(313) 742-8613
Fax
(313) 766-4520
NPI assigned
Aug 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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

Authorized official

Name
Owida Frederick-Yuille
Title
Ceo/Owner
Phone
(313) 742-8613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

13901 Ardmore St
Detroit, MI 48227-3108

Mailing address

PO Box 39011
Redford, MI 48239-0011
Phone (313) 742-8613

Other names 1

  • Athomecare4seniors Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724457600000",
    "number": "1053144907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39011",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482390011",
            "telephone_number": "313-742-8613",
            "fax_number": "313-766-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 ARDMORE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273108",
            "telephone_number": "313-742-8613",
            "fax_number": "313-766-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHOMECARE4SENIORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A",
        "authorized_official_last_name": "FREDERICK-YUILLE",
        "authorized_official_first_name": "OWIDA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "313-742-8613"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athomecare4seniors",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 24, 2024; 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.