NPIMap

Organization Active NPI

Deliverance Home Care Agency

  • Preferred Provider Organization
  • Redford, MI
National Provider Identifier
1255736203
Registry record updated Nov 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
E4877Y Issued in MI
Legal business name
DELIVERANCE HOME CARE AGENCY
Practice address
9943 Hemingway
Redford, MI 48239-2204
Phone
(313) 424-2504
NPI assigned
Nov 1, 2014
Last updated
Nov 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2014

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

Authorized official

Name
Mrs. Rahketa Ren'E FletcherNPI 1659787422
Title
Owner
Phone
(313) 424-2504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X E4877Y MI Primary

Addresses

Primary practice location

9943 Hemingway
Redford, MI 48239-2204

Mailing address

9943 Hemingway
Redford, MI 48239-2204
Phone (313) 424-2504

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414800000000",
    "number": "1255736203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9943 HEMINGWAY",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392204",
            "telephone_number": "313-424-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9943 HEMINGWAY",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392204",
            "telephone_number": "313-424-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELIVERANCE HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-01",
        "last_updated": "2014-11-01",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "RAHKETA",
        "authorized_official_middle_name": "REN'E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-424-2504",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "E4877Y",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2014; 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.