Organization Active NPI

Yourcompanionelderlyservices

  • In Home Supportive Care Agency
  • Warren, MI
National Provider Identifier
1215779699
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
YOURCOMPANIONELDERLYSERVICES
Practice address
3143 Potomac Ave
Warren, MI 48091-1019
Phone
(586) 554-0571
NPI assigned
Jun 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Martel Johnson
Title
Ceo
Phone
(586) 554-0571

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3143 Potomac Ave
Warren, MI 48091-1019

Mailing address

3143 Potomac Ave
Warren, MI 48091-1019
Phone (586) 554-0571

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1215779699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 POTOMAC AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911019",
            "telephone_number": "586-554-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 POTOMAC AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911019",
            "telephone_number": "586-554-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOURCOMPANIONELDERLYSERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARTEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-554-0571"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

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