NPIMap

Organization Active NPI

Eunice Home of Comfort Inc

  • Foster Care Agency
  • Warren, MI
National Provider Identifier
1104595610
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
EUNICE HOME OF COMFORT INC
Practice address
21718 Eastwood CT
Warren, MI 48089-2827
Phone
(734) 341-8392
NPI assigned
Sep 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Ms. Wanda Alicia Phillips, CEONPI 1063379881
Title
President
Phone
(734) 341-8392

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
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

21718 Eastwood CT
Warren, MI 48089-2827

Mailing address

21718 Eastwood CT
Warren, MI 48089-2827
Phone (734) 341-8392

Other names 1

  • EUNICE HOME OF COMFORT Former legal business name

National Provider Directory

National Provider Directory

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": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1104595610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21718 EASTWOOD CT",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892827",
            "telephone_number": "734-341-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21718 EASTWOOD CT",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892827",
            "telephone_number": "734-341-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNICE HOME OF COMFORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-341-8392",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EUNICE HOME OF COMFORT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.