Active NPI
Sotero Lopez III
- Home Health Aide
- Detroit, MI
National Provider Identifier
1457173130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 220 W Congress St FL 2
Detroit, MI 48226-3289 - Phone
- (586) 565-0977
- NPI assigned
- Oct 24, 2024
- Last updated
- Oct 24, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | |||
| Driver | 172A00000X | |||
| Meals Provider | 174200000X | |||
| Specialist | 174400000X | |||
| Chore Provider | 372500000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
220 W Congress St FL 2
Detroit, MI 48226-3289
Mailing address
220 W Congress St FL 2
Detroit, MI 48226-3289
Phone (586) 565-0977
Other practice location 1
18399 Outer Dr
Dearborn, MI 48128-1350
Phone (586) 565-0977
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 |
|---|---|---|---|
| Succor Enterprise National Association | Meals | Current | Accepting new patients |
Locations
220 W Congress St
Fl 2
Detroit, MI 48226
Phone (313) 963-4979
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1457173130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W CONGRESS ST FL 2",
"city": "DETROIT",
"state": "MI",
"postal_code": "482263289",
"telephone_number": "586-565-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 W CONGRESS ST FL 2",
"city": "DETROIT",
"state": "MI",
"postal_code": "482263289",
"telephone_number": "586-565-0977"
}
],
"practiceLocations": [
{
"address_1": "18399 Outer Dr",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481281350",
"country_code": "US",
"telephone_number": "586-565-0977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "SOTERO",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-24",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"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 Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.