Simply Perfect Residential Care LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

SIMPLY PERFECT RESIDENTIAL CARE LLC

Practice address

21841 Kenosha St
Oak Park, MI 48237-2651

Phone

(248) 890-9660

NPI assigned

Mar 22, 2022

Last updated

Mar 22, 2022By 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. Patrice CoatesNPI 1962840124

Title

Owner

Phone

(248) 890-9660

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrice Coates

  • Prosthetic/Orthotic Supplier
  • Oak Park, MI
  • NPI 1962840124
  Authorized official Same address or phone

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1558010819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21841 KENOSHA ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372651",
            "telephone_number": "248-890-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21841 KENOSHA ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372651",
            "telephone_number": "248-890-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY PERFECT RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-890-9660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplyperfectresidential@gmail.com",
            "affiliation": "N",
            "address_1": "21841 Kenosha St",
            "city": "Oak Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482372651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Aide in Oak Park, MI
• Providers in Oak Park, 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 Mar 22, 2022; 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.