Organization Active NPI

Vetted

  • In Home Supportive Care Agency
  • Troy, MI
National Provider Identifier
1306696521
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VETTED
Practice address
2125 Butterfield Dr Ste 299
Troy, MI 48084-3441
Phone
(248) 514-8571
NPI assigned
Mar 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Evan M Shelline
Title
Managing Member
Phone
(248) 514-8571

Specialties & licenses 1

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

Addresses

Primary practice location

2125 Butterfield Dr Ste 299
Troy, MI 48084-3441

Mailing address

2125 Butterfield Dr Ste 299
Troy, MI 48084-3441
Phone (248) 514-8571

National Provider Directory

National Provider Directory

Locations

2125 Butterfield Dr
Ste 299
Troy, MI 48084
Phone (248) 514-8571

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1306696521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 BUTTERFIELD DR STE 299",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843441",
            "telephone_number": "248-514-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 BUTTERFIELD DR STE 299",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843441",
            "telephone_number": "248-514-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETTED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "SHELLINE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "248-514-8571"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.