Organization Active NPI

Circle of Friends Care

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1396244679
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7157793 Issued in MI
Legal business name
CIRCLE OF FRIENDS CARE
Doing business as
Circle of Friends Care
Practice address
19621 Hanna St
Detroit, MI 48203-1367
Phone
(313) 772-1661
Fax
(313) 731-0576
NPI assigned
Feb 1, 2018
Last updated
Feb 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Authorized official

Name
Ms. Ena Gwentail McKee, CEO
Title
Owner
Phone
(313) 772-1661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7157793 MI Primary

Addresses

Primary practice location

19621 Hanna St
Detroit, MI 48203-1367

Mailing address

14412 Gratiot Ave
Detroit, MI 48205-2307
Phone (313) 261-2000

Other identifiers 1

IdentifierTypeStateIssuer
7157793MedicaidMI

Other names 1

  • CIRCLE OF FRIENDS CARE Doing business as

National Provider Directory

National Provider Directory

Locations

14412 Gratiot Ave
Detroit, MI 48205

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1396244679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14412 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052307",
            "telephone_number": "313-261-2000",
            "fax_number": "313-731-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19621 HANNA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482031367",
            "telephone_number": "313-772-1661",
            "fax_number": "313-731-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF FRIENDS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "ENA",
        "authorized_official_middle_name": "GWENTAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-772-1661",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "7157793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7157793",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIRCLE OF FRIENDS CARE",
            "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 Feb 1, 2018; 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.