Jamila Butler
Individual provider Active NPI Home Health Aide · Romulus, MI
NPI 1558033688 · NPPES record last updated Sep 28, 2021
Key facts
- NPI
- 1558033688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 34129 McBride St
Romulus, MI 48174-3433 - Phone
- (734) 406-4112
- NPI assigned
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704267932 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MI | ||
| Home Health Registered Nurse |
163WH0200X | 4704267932 | MI | |
| Home Health Aide |
374U00000X | Yes |
Addresses
Primary practice location
34129 McBride St
Romulus, MI 48174-3433
Mailing address
34129 McBride St
Romulus, MI 48174-3433
Phone (734) 406-4112
Other providers in Romulus, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.