Active NPI
Circle of Friends Care
- Home Health Agency
- Detroit, MI
National Provider Identifier
1396244679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 7157793
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7157793 | Medicaid | MI |
Other names 1
- CIRCLE OF FRIENDS CARE
National Provider Directory
National Provider DirectoryLocations
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.