Active NPI
Redicare Healthcare Services
- Home Health Agency
- Detroit, MI
National Provider Identifier
1659606317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- REDICARE HEALTHCARE SERVICES
- Practice address
- 17800 E Warren Ave
Detroit, MI 48224-1332 - Phone
- (313) 343-5301
- Fax
- (313) 343-6653
- NPI assigned
- Oct 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jercentia M Ludy, CASEMANAGEMENT
- Title
- Administration
- Phone
- (313) 343-5301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
17800 E Warren Ave
Detroit, MI 48224-1332
Mailing address
17800 E Warren Ave
Detroit, MI 48224-1332
Phone (313) 343-5301
National Provider Directory
National Provider DirectoryLocations
17800 E Warren Ave
Detroit, MI 48224
Phone (313) 343-5301
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Detroit, MI
- NPI 1154746303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255392000000",
"number": "1659606317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17800 E WARREN AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482241332",
"telephone_number": "313-343-5301",
"fax_number": "313-343-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17800 E WARREN AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482241332",
"telephone_number": "313-343-5301",
"fax_number": "313-343-6653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDICARE HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-13",
"last_updated": "2009-10-13",
"status": "A",
"authorized_official_last_name": "LUDY",
"authorized_official_first_name": "JERCENTIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "313-343-5301",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CASEMANAGEMENT"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"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 Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.