Organization Active NPI

Sertainley S Home Care Limited Liability Company

  • Community Health Worker
  • Detroit, MI
National Provider Identifier
1194416545
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
SERTAINLEY S HOME CARE LIMITED LIABILITY COMPANY
Practice address
16903 Strathmoor St
Detroit, MI 48235-4072
Phone
(313) 778-8113
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Tenessa HoustonNPI 1881265718
Title
CHW
Phone
(313) 778-8113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

16903 Strathmoor St
Detroit, MI 48235-4072

Mailing address

5790 Berkshire St
Detroit, MI 48224-3208
Phone (313) 778-8113

National Provider Directory

National Provider Directory
Tax ID family
Sertainley S Home Care Limited Liability Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1194416545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 BERKSHIRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243208",
            "telephone_number": "313-778-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16903 STRATHMOOR ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354072",
            "telephone_number": "313-778-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERTAINLEY S HOME CARE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "TENESSA",
        "authorized_official_title_or_position": "CHW",
        "authorized_official_telephone_number": "313-778-8113"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 10, 2024; 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.