Active NPI
Brock Home Care Services LLC
- In Home Supportive Care Agency
- Saint Clair Shores, MI
National Provider Identifier
1104121573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- BROCK HOME CARE SERVICES LLC
- Practice address
- 23000 Greater Mack Ave
Suite 300
Saint Clair Shores, MI 48080-1914 - Phone
- (586) 777-7993
- Fax
- (586) 777-7994
- NPI assigned
- Jan 17, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Catherine B Jackman
- Title
- Manager
- Phone
- (586) 777-7993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
23000 Greater Mack Ave
Suite 300
Saint Clair Shores, MI 48080-1914
Mailing address
23000 Greater Mack Ave
Suite 300
Saint Clair Shores, MI 48080-1914
Phone (586) 777-7993
Other names 1
- Right at Home
National Provider Directory
National Provider DirectoryLocations
23000 Greater Mack Ave
Ste 300
Saint Clair Shores, MI 48080
Phone (586) 777-7993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295222400000",
"number": "1104121573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23000 GREATER MACK AVE",
"address_2": "SUITE 300",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801914",
"telephone_number": "586-777-7993",
"fax_number": "586-777-7994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23000 GREATER MACK AVE",
"address_2": "SUITE 300",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801914",
"telephone_number": "586-777-7993",
"fax_number": "586-777-7994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROCK HOME CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-17",
"last_updated": "2011-01-17",
"status": "A",
"authorized_official_last_name": "JACKMAN",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "586-777-7993",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Right at Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.