Respite Care Services Eemc

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

RESPITE CARE SERVICES EEMC

Practice address

1701 Laurel Oak Dr
Flint, MI 48507-2210

Phone

(810) 233-0621

NPI assigned

Jan 2, 2019

Last updated

Jan 2, 2019By 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

Ms. Sonya Danielle Waters, MHMA

Title

Home Care Administration

Phone

(810) 233-0621

Specialties & licenses 10

Addresses

Other identifiers 2

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1548733512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LAUREL OAK DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072210",
            "telephone_number": "810-233-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LAUREL OAK DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072210",
            "telephone_number": "810-233-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPITE CARE SERVICES EEMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "HOME CARE ADMINISTRATION",
        "authorized_official_telephone_number": "810-233-0621",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHMA"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIGMA VSS ID",
            "identifier": "VS0082275",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN PROVIDER ID",
            "identifier": "8431278",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gabrielle Rett
• Carlin Rettberg
• Haley Reulbach, NP
• Elizabeth M Reyes
• Gwendolyn Rene Reyes, M.D.

• Home Health Aide in Flint, MI
• Providers in Flint, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.