Organization Active NPI

Keliser Adult Care Services of Michigan

  • Home Health Agency
  • Bloomfield Hills, MI
National Provider Identifier
1104635770
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KELISER ADULT CARE SERVICES OF MICHIGAN
Practice address
1666 S Hill Cir
Bloomfield Hills, MI 48304-1186
Phone
(504) 240-8887
NPI assigned
Jan 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Dr. Latonya Carroll, DNP, APRN.CNP
Title
Administrator
Phone
(614) 707-2622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1666 S Hill Cir
Bloomfield Hills, MI 48304-1186

Mailing address

1666 S Hill Cir
Bloomfield Hills, MI 48304-1186
Phone (504) 240-8887

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1104635770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 S HILL CIR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041186",
            "telephone_number": "504-240-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 S HILL CIR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041186",
            "telephone_number": "504-240-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELISER ADULT CARE SERVICES OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-707-2622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN.CNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.