Active NPI
Kali Home Help and Health Services
- In Home Supportive Care Agency
- Southfield, MI
National Provider Identifier
1205300928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- KALI HOME HELP AND HEALTH SERVICES
- Practice address
- 29250 Pointe O Woods PL Apt 102
Southfield, MI 48034-1235 - Phone
- (248) 882-5520
- NPI assigned
- Jan 15, 2019
- 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
- Ms. Constance Brown, LBSW
- Title
- Social Worker
- Phone
- (248) 882-5520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
29250 Pointe O Woods PL Apt 102
Southfield, MI 48034-1235
Mailing address
29250 Pointe O Woods PL Apt 102
Southfield, MI 48034-1235
Phone (248) 882-5520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38-3067977 | 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": "1547510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547510400000",
"number": "1205300928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29250 POINTE O WOODS PL APT 102",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341235",
"telephone_number": "248-882-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29250 POINTE O WOODS PL APT 102",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341235",
"telephone_number": "248-882-5520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALI HOME HELP AND HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-15",
"last_updated": "2019-01-15",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "CONSTANCE",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "248-882-5520",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LBSW"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38-3067977",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.