Cam Fam Community Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CAM FAM COMMUNITY CARE LLC

Practice address

16718 Vaughan St
Detroit, MI 48219-3356

Phone

(313) 721-3480

NPI assigned

Jul 11, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Latriese Campbell

Title

Owner

Phone

(313) 721-2558

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1477105369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22200 W 11 MILE RD UNIT 3035",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480377082",
            "telephone_number": "248-636-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16718 VAUGHAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193356",
            "telephone_number": "313-721-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAM FAM COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "LATRIESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-721-2558",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle Camarata-Stress, NP-C
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• Joseph Camble
• Theresa Alice Camden, LMSW

• In Home Supportive Care Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.