A Table Prepared Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

A TABLE PREPARED HOME CARE

Practice address

17669 McIntyre St
Detroit, MI 48219-2369

Phone

(248) 378-7145

NPI assigned

Jun 27, 2025

Organization subpart

No

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

Authorized official

Name

Catrina MimsNPI 1417721879

Title

Administrator

Phone

(248) 378-7145

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catrina Mims

  • Adult Care Home Facility
  • Detroit, MI
  • NPI 1417721879

  In Home Supportive Care

  NPD Authorized official

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1386532240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17669 MCINTYRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17669 MCINTYRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192369",
            "telephone_number": "248-378-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TABLE PREPARED HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "CATRINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-378-7145"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Detroit, MI
• In Home Supportive Care Agency in Michigan

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