Organization Active NPI

Cisseri Health Care

  • Family Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1174005227
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704240894 Issued in MI
Legal business name
CISSERI HEALTH CARE
Doing business as
Cisseri health care
Practice address
28931 W 11 Mile Rd
Farmington Hills, MI 48336
Phone
(313) 932-2163
NPI assigned
Sep 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Sarah Kironde, FNP-BC
Title
Director
Phone
(313) 932-2163

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MI
Nursing Care Agency 251J00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 4704240894 MI Primary

Addresses

Primary practice location

28931 W 11 Mile Rd
Farmington Hills, MI 48336

Mailing address

28931 W 11 Mile Rd
Farmington Hills, MI 48336-1403
Phone (313) 932-2163

Other identifiers 1

IdentifierTypeStateIssuer
E232323EMedicaidMI

Other names 1

  • Cisseri health care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1174005227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28931 W 11 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361403",
            "telephone_number": "313-932-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28931 W 11 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48336",
            "telephone_number": "313-932-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CISSERI HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "KIRONDE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-932-2163",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704240894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E232323E",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cisseri health care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.