Accordia Senior Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ACCORDIA SENIOR SERVICES

Practice address

20027 Burgess
Detroit, MI 48219-1367

Phone

(248) 907-3393

NPI assigned

Nov 13, 2019

Last updated

Mar 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jacqueline Martin-Edward, RN, CCM

Title

President

Phone

(248) 907-3393

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1457996449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22503 GRAND RIVER AVE UNIT 19516",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482195025",
            "telephone_number": "248-907-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20027 BURGESS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191367",
            "telephone_number": "248-907-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCORDIA SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN-EDWARD",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-907-3393",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, CCM"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VS0123503",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.