Ederly Care Connections LLC

Primary specialty

Chore ProviderTaxonomy code 372500000X

Legal business name

EDERLY CARE CONNECTIONS LLC

Practice address

15531 Mack Ave
Detroit, MI 48224-3453

Phone

(313) 768-8613

NPI assigned

Aug 6, 2022

Last updated

Aug 6, 2022By 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

Pamela Reid

Title

Administrator

Phone

(313) 768-8613

Specialties & licenses 6

Addresses

Locations

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659744000000",
    "number": "1356078513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15531 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243453",
            "telephone_number": "313-768-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15531 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243453",
            "telephone_number": "313-768-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDERLY CARE CONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-06",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-768-8613"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shy'Niya Eddins
• Tatum Jean Eddy, DO
• David Aaron Edelman, MD
• Jessa Kristen Edelman, M.D.
• Sonia Veronica Eden, M.D.
• Brenda Edge, RN
• Courtney Cherise Edge, LBSW,
• Holly M Edick, OT
• Leonda Edison
• Starlaschaniece Edison, LLMSW

• Chore Provider in Detroit, MI
• Providers in Detroit, MI by specialty
• Chore Provider in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.