Greater Metro Detroit Senior Assistance LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREATER METRO DETROIT SENIOR ASSISTANCE LLC

Practice address

6060 Dixie Hwy Ste E
Clarkston, MI 48346-3476

Phone

(248) 623-7999

NPI assigned

Jun 12, 2019

Organization subpart

No

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

Authorized official

Name

Kyle Kasler

Title

Director

Phone

(248) 623-7999

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Visiting Angels Services Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1275192247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 DIXIE HWY STE E",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 DIXIE HWY STE E",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463476",
            "telephone_number": "248-623-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER METRO DETROIT SENIOR ASSISTANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "KASLER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-623-7999"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WE DO NOT HAVE ANY ADDITIONAL IDENTIFIERS",
            "identifier": "NONE",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkasler@visitingangels.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "6060 Dixie Hwy Ste E",
            "city": "Clarkston",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483463476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Visiting Angels Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Angels Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Gora
• Megan Gougeon, LMSW
• Courtenay Elizabeth Grabowski, LM, LA, CBE
• Roberta Grabowski
• Christina Gramith, D.O.
• Bianca Green, NP
• Randall Green, OT
• Gregory P. Derderian D.O., P.C.
• Daniel Scott Gregory, DPT
• Grey Street Counseling and Wellness

• Home Health Agency in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.