I Care Home Services

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

AS820386526 Issued in MI

Legal business name

I CARE HOME SERVICES

Practice address

16610 Wormer St
Detroit, MI 48219-3679

Phone

(248) 686-4280

NPI assigned

Jul 10, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Eboni Monique Harris

Title

Owner

Phone

(248) 686-4280

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• I Care Home Services Doing business as

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1467948786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1104",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481211104",
            "telephone_number": "248-686-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16610 WORMER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193679",
            "telephone_number": "248-686-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CARE HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "EBONI",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-686-4280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "AS820386526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT FOSTER CARE FACILITY",
            "identifier": "AS820386526",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I Care Home Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foster Care Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.