Organization Active NPI

Addie Maes Elderly Care LLC

  • In Home Supportive Care Agency
  • Warren, MI
National Provider Identifier
1215848247
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ADDIE MAES ELDERLY CARE LLC
Practice address
22580 Oaklane St
Warren, MI 48089-5448
Phone
(586) 563-7318
NPI assigned
Sep 16, 2026
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Adia T Jenkins
Title
Owner
Phone
(586) 563-7318

Specialties & licenses 2

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

Addresses

Primary practice location

22580 Oaklane St
Warren, MI 48089-5448

Mailing address

22580 Oaklane St
Warren, MI 48089-5448
Phone (586) 563-7318

Other practice location 1

4305 Cherry Hill Dr
Poughkeepsie, NY 12603-1777
Phone (845) 464-4647

Other practice location 2

39434 N Marla Cir
San Tan Valley, AZ 85140-5798
Phone (520) 728-4760

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1215848247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22580 OAKLANE ST",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480895448",
            "telephone_number": "586-563-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22580 OAKLANE ST",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480895448",
            "telephone_number": "586-563-7318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4305 Cherry Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126031777",
            "country_code": "US",
            "telephone_number": "845-464-4647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39434 N Marla Cir",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851405798",
            "country_code": "US",
            "telephone_number": "520-728-4760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADDIE MAES ELDERLY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ADIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-563-7318"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "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 Sep 16, 2026; 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.