Organization Active NPI

Prolific Care Home Health SVC

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1447743216
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROLIFIC CARE HOME HEALTH SVC
Practice address
10141 W. McNichols St.
Detroit, MI 48221
Phone
(313) 414-1575
NPI assigned
Jun 7, 2018
Last updated
Jun 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Ms. April A Jackson, MA, TLLP, CM
Title
Partner
Phone
(248) 416-9039

Specialties & licenses 1

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

Addresses

Primary practice location

10141 W. McNichols St.
Detroit, MI 48221

Mailing address

10141 W. McNichols St.
Detroit, MI 48221
Phone (313) 414-1575

National Provider Directory

National Provider Directory

Locations

10141 W McNichols Rd
Detroit, MI 48221
Phone (313) 414-1575

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1447743216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10141 W. MCNICHOLS ST.",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48221",
            "telephone_number": "313-414-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10141 W. MCNICHOLS ST.",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48221",
            "telephone_number": "313-414-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIFIC CARE HOME HEALTH SVC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "248-416-9039",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, TLLP, CM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 7, 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.