Supportive Care Services of Michigan Inc
Organization Active NPI Nursing Care Agency · Detroit, MI
NPI 1164541447 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1164541447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Care Agency 251J00000X
- Legal business name
- SUPPORTIVE CARE SERVICES OF MICHIGAN INC
- Practice address
- 400 Mack Ave
Detroit, MI 48201-2136 - Phone
- (313) 578-5000
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert Cahill
- Title
- Senior V.P. Business Ops & Cfo
- Phone
- (313) 578-5017
Member of 1
National Provider Directory
Locations
400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006
26913 Northwestern Hwy
Ste 350
Southfield, MI 48033
Phone (313) 578-5020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Yes |
Addresses
Primary practice location
400 Mack Ave
Detroit, MI 48201-2136
Mailing address
400 Mack Ave
Detroit, MI 48201-2136
Phone (313) 578-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B0106 | Other | MI | BCBSM |
Other names
- At HOMe Support
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All providers in Detroit, MI · Nursing Care Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.