Organization Active NPI

Mable's Warm Embrace LLC

  • In Home Supportive Care Agency
  • Southfield, MI
National Provider Identifier
1255746913
Registry record updated Jun 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MABLE'S WARM EMBRACE LLC
Practice address
30275 Balewood St
Southfield, MI 48076-1526
Phone
(248) 809-6098
Fax
(626) 605-9052
NPI assigned
Jun 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2014

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

Authorized official

Name
Malissa Montgomery
Title
Sole Member
Phone
(248) 809-6098

Specialties & licenses 1

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

Addresses

Primary practice location

30275 Balewood St
Southfield, MI 48076-1526

Mailing address

30275 Balewood St
Southfield, MI 48076-1526
Phone (248) 809-6098

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403308800000",
    "number": "1255746913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30275 BALEWOOD ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761526",
            "telephone_number": "248-809-6098",
            "fax_number": "626-605-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30275 BALEWOOD ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761526",
            "telephone_number": "248-809-6098",
            "fax_number": "626-605-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABLE'S WARM EMBRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-21",
        "last_updated": "2014-06-21",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "MALISSA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "248-809-6098"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.