Nolan Grey Home Care Agency and Resource Center

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NOLAN GREY HOME CARE AGENCY AND RESOURCE CENTER

Practice address

4119 19TH St
Ecorse, MI 48229-1244

Phone

(313) 315-1526

NPI assigned

May 4, 2017

Last updated

May 4, 2017By 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

Anita R Edison

Title

Owner/President

Phone

(313) 315-1526

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1487180980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1165",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461165",
            "telephone_number": "313-315-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 19TH ST",
            "city": "ECORSE",
            "state": "MI",
            "postal_code": "482291244",
            "telephone_number": "313-315-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLAN GREY HOME CARE AGENCY AND RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "EDISON",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "313-315-1526"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Ecorse, MI
• Providers in Ecorse, 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 May 4, 2017; 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.