Active NPI
Kehlani Cares
- Case Manager/Care Coordinator
- Wyandotte, MI
National Provider Identifier
1275110538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- KEHLANI CARES
- Practice address
- 1824 15TH St
Wyandotte, MI 48192-3616 - Phone
- (734) 307-5378
- Fax
- (734) 638-6005
- NPI assigned
- Mar 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tracy D Fuentes
- Title
- Owner
- Phone
- (734) 307-5378
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Lodging Provider | 177F00000X | |||
| Massage Therapist | 225700000X | |||
| Home Health Agency | 251E00000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
1824 15TH St
Wyandotte, MI 48192-3616
Mailing address
14000 Dix Toledo Rd Unit 1311
Southgate, MI 48195-9513
Phone (734) 307-5378
National Provider Directory
National Provider DirectoryLocations
14000 Dix Toledo Rd
Unit 1311
Southgate, MI 48195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617062400000",
"number": "1275110538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14000 DIX TOLEDO RD UNIT 1311",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481959513",
"telephone_number": "734-307-5378",
"fax_number": "734-638-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 15TH ST",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481923616",
"telephone_number": "734-307-5378",
"fax_number": "734-638-6005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEHLANI CARES",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-24",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A",
"authorized_official_last_name": "FUENTES",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-307-5378",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.