Organization Active NPI

Genuine Complete Care

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1659936789
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GENUINE COMPLETE CARE
Practice address
17851 Hoover St
Detroit, MI 48205-3117
Phone
(313) 454-8955
NPI assigned
May 3, 2019
Last updated
May 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Authorized official

Name
Tierra Watts
Title
Owner
Phone
(313) 454-8955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

17851 Hoover St
Detroit, MI 48205-3117

Mailing address

17851 Hoover St
Detroit, MI 48205-3117
Phone (313) 454-8955

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1659936789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17851 HOOVER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053117",
            "telephone_number": "313-454-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17851 HOOVER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053117",
            "telephone_number": "313-454-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUINE COMPLETE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "TIERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-454-8955"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "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 May 3, 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.