Active NPI
Unique in Home Care Services LLC
- In Home Supportive Care Agency
- Detroit, MI
National Provider Identifier
1114393253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- UNIQUE IN HOME CARE SERVICES LLC
- Practice address
- 19964 Rogge St
Detroit, MI 48234-3031 - Phone
- (313) 466-4091
- Fax
- (313) 543-3172
- NPI assigned
- Aug 12, 2015
- 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
- Chalvonte Crosby
- Title
- Ceo
- Phone
- (313) 315-0151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
19964 Rogge St
Detroit, MI 48234-3031
Mailing address
PO Box 40151
Redford, MI 48240-0151
Phone (313) 466-4091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7809391 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454457600000",
"number": "1114393253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40151",
"city": "REDFORD",
"state": "MI",
"postal_code": "482400151",
"telephone_number": "313-466-4091",
"fax_number": "313-740-7458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19964 ROGGE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482343031",
"telephone_number": "313-466-4091",
"fax_number": "313-543-3172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIQUE IN HOME CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-12",
"last_updated": "2016-02-03",
"status": "A",
"authorized_official_last_name": "CROSBY",
"authorized_official_first_name": "CHALVONTE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "313-315-0151"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7809391",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.