Organization Active NPI

Joanne Cruz, MSW, LMSW, PLC

  • Home Health Agency
  • Troy, MI
National Provider Identifier
1053716944
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
6801079861 Issued in MI
Legal business name
JOANNE CRUZ, MSW, LMSW, PLC
Practice address
1699 Hempstead Dr
Troy, MI 48083-2630
Phone
(248) 709-7432
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Joanne Cruz, MSW, LMSWNPI 1982726857
Title
Owner/ Clinician
Phone
(248) 709-7432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 6801079861 MI Primary

Addresses

Primary practice location

1699 Hempstead Dr
Troy, MI 48083-2630

Mailing address

1699 Hempstead Dr
Troy, MI 48083-2630
Phone (248) 709-7432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141209001802 MI Part B Supplier - Clinic/Group Practice 1254653884 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, MI

National Provider Directory

National Provider Directory

Locations

3190 Rochester Rd
Ste 109
Troy, MI 48083
Phone (248) 709-7432

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1053716944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 HEMPSTEAD DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832630",
            "telephone_number": "248-709-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 HEMPSTEAD DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832630",
            "telephone_number": "248-709-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE CRUZ, MSW, LMSW, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER/ CLINICIAN",
        "authorized_official_telephone_number": "248-709-7432",
        "authorized_official_credential": "MSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "6801079861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.