NPIMap

Organization Active NPI

Metro Adult Services

  • In Home Supportive Care Agency
  • Detroit, MI
National Provider Identifier
1548723695
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
METRO ADULT SERVICES
Practice address
16528 Mark Twain St
Detroit, MI 48235-4063
Phone
(248) 480-3104
NPI assigned
Apr 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Kennidi Danae Holloway
Title
Owner
Phone
(248) 480-3104

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
In Home Supportive Care Agency 253Z00000X Primary
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X

Addresses

Primary practice location

16528 Mark Twain St
Detroit, MI 48235-4063

Mailing address

16528 Mark Twain St
Detroit, MI 48235-4063
Phone (248) 480-3104

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1548723695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16528 MARK TWAIN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354063",
            "telephone_number": "248-480-3104",
            "fax_number": "313-481-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16528 MARK TWAIN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354063",
            "telephone_number": "248-480-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO ADULT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-06",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "KENNIDI",
        "authorized_official_middle_name": "DANAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-480-3104"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

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