T&JK Family Home Support Services

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

T&JK FAMILY HOME SUPPORT SERVICES

Doing business as

T&JK Family Home Support Services

Practice address

19499 Westbrook St
Detroit, MI 48219-1921

Phone

(313) 717-3535

NPI assigned

Dec 19, 2023

Last updated

Dec 24, 2023By 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

Terrell Terry Kenyon

Title

Owner

Phone

(313) 717-3535

Specialties & licenses 1

Addresses

Other names 1

• T&JK FAMILY HOME SUPPORT SERVICES Doing business as

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703376000000",
    "number": "1467220343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2398",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481807198",
            "telephone_number": "313-717-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19499 WESTBROOK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191921",
            "telephone_number": "313-717-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T&JK FAMILY HOME SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-24",
        "certification_date": "2023-12-24",
        "status": "A",
        "authorized_official_last_name": "KENYON",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-717-3535"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T&JK FAMILY HOME SUPPORT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "T&JK FAMILY HOME SUPPORT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Aide in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2023; 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.