Senior Chronic Care Management, LLC

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

Legal business name

SENIOR CHRONIC CARE MANAGEMENT, LLC

Practice address

13301 Mound Rd Ste 3B
Hamtramck, MI 48212-2545

Phone

(248) 658-8064

Fax

(313) 334-5081

NPI assigned

Sep 7, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Latina Desiree Kaigler, RN

Title

Manager

Phone

(248) 658-8064

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567814400000",
    "number": "1205485752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 MOUND RD STE 3B",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482122545",
            "telephone_number": "248-658-8064",
            "fax_number": "313-334-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 MOUND RD STE 3B",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482122545",
            "telephone_number": "248-658-8064",
            "fax_number": "313-334-5081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13301 Mound Rd Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Hamtramck",
            "state": "MI",
            "postal_code": "482122545",
            "country_code": "US",
            "telephone_number": "248-658-8064",
            "fax_number": "313-334-5081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENIOR CHRONIC CARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-07",
        "last_updated": "2019-09-07",
        "status": "A",
        "authorized_official_last_name": "KAIGLER",
        "authorized_official_first_name": "LATINA",
        "authorized_official_middle_name": "DESIREE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-658-8064",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Nurse Practitioner in Hamtramck, MI
• Providers in Hamtramck, MI by specialty
• Community Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.