Active NPI
Veronica'S Private Duty Care & C.P.R Training, LLC.
- Home Health Agency
- Redford, MI
National Provider Identifier
1528420262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 4703115146
- Legal business name
- VERONICA'S PRIVATE DUTY CARE & C.P.R TRAINING, LLC.
- Practice address
- 20042 Kinloch
Redford, MI 48240-1113 - Phone
- (313) 627-1455
- NPI assigned
- Mar 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Veronica Newman, LPN
- Title
- Owner/Operator
- Phone
- (216) 659-9621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 4703115146 | MI | Primary |
Addresses
Primary practice location
20042 Kinloch
Redford, MI 48240-1113
Mailing address
20042 Kinloch
Redford, MI 48240-1113
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7944976 | Medicaid | MI | |
| 7941437 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458604800000",
"number": "1528420262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20042 KINLOCH",
"city": "REDFORD",
"state": "MI",
"postal_code": "482401113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20042 KINLOCH",
"city": "REDFORD",
"state": "MI",
"postal_code": "482401113",
"telephone_number": "313-627-1455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERONICA'S PRIVATE DUTY CARE & C.P.R TRAINING, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A",
"authorized_official_last_name": "NEWMAN",
"authorized_official_first_name": "VERONICA",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "216-659-9621",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": "4703115146",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7944976",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7941437",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.