Cejuana Elvine
Individual provider Active NPI Home Health Aide · Wixom, MI
NPI 1427804657 · NPPES record last updated Apr 29, 2024
Key facts
- NPI
- 1427804657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 30711 Beechwood St Apt 46310
Wixom, MI 48393-2801 - Phone
- (248) 979-4449
- NPI assigned
- Apr 29, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
30711 Beechwood St Apt 46310
Wixom, MI 48393-2801
Mailing address
42756 Winding Pond TRL
Van Buren TWP, MI 48111-7203
Phone (248) 979-4449
Other providers in Wixom, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.