KTJ Home Care Agency LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

KTJ HOME CARE AGENCY LLC

Practice address

17249 Sunderland Rd
Detroit, MI 48219-4203

Phone

(313) 412-2372

NPI assigned

Feb 18, 2021

Last updated

Jan 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sherie M Tatum, HOME MAKER SERVICES

Title

Owner

Phone

(313) 412-2372

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1336732585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17249 SUNDERLAND RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482194203",
            "telephone_number": "313-412-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17249 SUNDERLAND RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482194203",
            "telephone_number": "313-412-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTJ HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "SHERIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-412-2372",
        "authorized_official_credential": "HOME MAKER SERVICES"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.