Organization Active NPI

Seniors Plus Case Management Mentoring and Development Corporation

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1265027239
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SENIORS PLUS CASE MANAGEMENT MENTORING AND DEVELOPMENT CORPORATION
Practice address
5236 S Clarendon St
Detroit, MI 48204-2921
Phone
(248) 904-4867
NPI assigned
Mar 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Authorized official

Name
Ms. Taquilla Rene Trammell, OWNER/ PRESIDENT
Title
Owner/ President
Phone
(818) 791-6916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5236 S Clarendon St
Detroit, MI 48204-2921

Mailing address

5236 S Clarendon St
Detroit, MI 48204-2921
Phone (818) 791-6916

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1265027239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5236 S CLARENDON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482042921",
            "telephone_number": "818-791-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5236 S CLARENDON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482042921",
            "telephone_number": "248-904-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORS PLUS CASE MANAGEMENT MENTORING AND DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "TRAMMELL",
        "authorized_official_first_name": "TAQUILLA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "818-791-6916",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OWNER/ PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.