NPIMap

Organization Active NPI

Jewels Home Health Care Service, LLC

  • In Home Supportive Care Agency
  • Detroit, MI
National Provider Identifier
1386298438
Registry record updated Jul 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JEWELS HOME HEALTH CARE SERVICE, LLC
Doing business as
Jewels Home Health Care Service, LLC
Practice address
14005 Roselawn St
Detroit, MI 48238-2469
Phone
(284) 802-1605
Fax
(313) 646-9791
NPI assigned
Jul 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2019

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

Authorized official

Name
Kellan Sandifer, N/A
Title
Preisdent
Phone
(248) 802-1605

Specialties & licenses 1

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

Addresses

Primary practice location

14005 Roselawn St
Detroit, MI 48238-2469

Mailing address

14005 Roselawn St
Detroit, MI 48238-2469
Phone (284) 802-1605

Other names 1

  • Jewels Home Health Care Service, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Jewelshomehealthcare@gmail.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564185600000",
    "number": "1386298438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14005 ROSELAWN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482382469",
            "telephone_number": "284-802-1605",
            "fax_number": "313-646-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14005 ROSELAWN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482382469",
            "telephone_number": "284-802-1605",
            "fax_number": "313-646-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWELS HOME HEALTH CARE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-27",
        "last_updated": "2019-07-27",
        "status": "A",
        "authorized_official_last_name": "SANDIFER",
        "authorized_official_first_name": "KELLAN",
        "authorized_official_title_or_position": "PREISDENT",
        "authorized_official_telephone_number": "248-802-1605",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jewelshomehealthcare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Flies",
            "address_1": "14005 Roselawn St",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482382469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jewels Home Health Care Service, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2019; 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.