Organization Active NPI

Metro Prestigious Home Services LLC

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1629763982
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
METRO PRESTIGIOUS HOME SERVICES LLC
Practice address
17520 W 12 Mile Rd # 206
Southfield, MI 48076-1945
Phone
(248) 929-2930
NPI assigned
Apr 11, 2023
Last updated
Apr 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Tatianna D Tye, LPN
Title
Owner/Partner
Phone
(249) 929-2930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17520 W 12 Mile Rd # 206
Southfield, MI 48076-1945

Mailing address

25535 Catalina St # a
Southfield, MI 48075-1774
Phone (249) 929-2930

National Provider Directory

National Provider Directory

Locations

17520 W 12 Mile Rd
#206
Southfield, MI 48076
Phone (248) 929-2930

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1629763982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25535 CATALINA ST # A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751774",
            "telephone_number": "249-929-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 W 12 MILE RD # 206",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761945",
            "telephone_number": "248-929-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PRESTIGIOUS HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "TYE",
        "authorized_official_first_name": "TATIANNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "249-929-2930",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.