McQueen's Home Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MCQUEEN'S HOME CARE LLC

Doing business as

McQueen's Home Crae

Practice address

3869 Burns St
Detroit, MI 48214-1272

Phone

(313) 727-4719

NPI assigned

Nov 18, 2021

Organization subpart

No

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

Authorized official

Name

Marquise C McQueen

Title

Owner

Phone

(313) 727-4719

Specialties & licenses 4

Addresses

Other names 1

• McQueen's Home Crae Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1205593878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3869 BURNS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482141272",
            "telephone_number": "313-727-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3869 BURNS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482141272",
            "telephone_number": "313-727-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCQUEEN'S HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "MCQUEEN",
        "authorized_official_first_name": "MARQUISE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-727-4719"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mcqueenehhh@icloud.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3869 Burns St",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482141272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "McQueen's Home Crae",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randall McPherson II, M.D.
• Takiyah McPherson
• Ashley Allison McPhillips, NURSE PRACTITONER
• Jaxsan McQueen, CPSS
• Marlin McQueen
• Donna McRae, LPN
• Ernestine F McRae III
• Rhonda McRae, MA LLPC
• Jermaine McReynolds
• Sherry Ellen McRill, MA.,LLP

• Adult Care Home Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.