Organization Active NPI

Unique in Home Care Services LLC

  • In Home Supportive Care Agency
  • Detroit, MI
National Provider Identifier
1114393253
Registry record updated Feb 3, 2016
On this page

Key facts

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

Updated by the provider on Feb 3, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7809391MedicaidMI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.