NPIMap

Organization Active NPI

Glendale Attendant Care Agency

  • In Home Supportive Care Agency
  • Detroit, MI
National Provider Identifier
1457740714
Registry record updated Jan 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
NO LICENSE REQUIRED Issued in MI
Legal business name
GLENDALE ATTENDANT CARE AGENCY
Practice address
4302 W Buena Vista St
Detroit, MI 48238-3276
Phone
(313) 212-8782
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2015

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

Authorized official

Name
Ms. Brandi Cierra Barnes
Title
Home Health Aide
Phone
(313) 212-8782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NO LICENSE REQUIRED MI Primary

Addresses

Primary practice location

4302 W Buena Vista St
Detroit, MI 48238-3276

Mailing address

4302 W Buena Vista St
Detroit, MI 48238-3276
Phone (313) 212-8782

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420848000000",
    "number": "1457740714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 W BUENA VISTA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383276",
            "telephone_number": "313-212-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 W BUENA VISTA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383276",
            "telephone_number": "313-212-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE ATTENDANT CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-10",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "CIERRA",
        "authorized_official_title_or_position": "HOME HEALTH AIDE",
        "authorized_official_telephone_number": "313-212-8782",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": "NO LICENSE REQUIRED",
            "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 Jan 10, 2015; 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.