Active NPI
Cheryl-Ann D Edwards
- Home Health Aide
- Southfield, MI
National Provider Identifier
1396313169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 18000 W 9 Mile Rd
Southfield, MI 48075-4009 - Phone
- (248) 996-5369
- Fax
- (248) 281-4904
- NPI assigned
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Poetry Therapist | 102X00000X | |||
| Community Health Worker | 172V00000X | |||
| Nurse's Aide | 376K00000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
18000 W 9 Mile Rd
Southfield, MI 48075-4009
Mailing address
18000 W 9 Mile Rd
Southfield, MI 48075-4009
Phone (248) 996-5369
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Other | HOME CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nexus Blue Home Care Agency LLC | Current | Accepting new patients |
Locations
18000 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 327-6196
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Southfield, MI
- NPI 1740903285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1396313169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18000 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754009",
"telephone_number": "248-996-5369",
"fax_number": "248-281-4904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18000 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754009",
"telephone_number": "248-996-5369",
"fax_number": "248-281-4904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "CHERYL-ANN",
"middle_name": "D",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2021-06-16",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "102X00000X",
"taxonomy_group": "",
"desc": "Poetry Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME CARE",
"identifier": "00000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.