Organization Active NPI

Brock Home Care Services LLC

  • In Home Supportive Care Agency
  • Saint Clair Shores, MI
National Provider Identifier
1104121573
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jan 17, 2011

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.