Tiara Nicole Butler
Individual provider Active NPI Home Health Agency · Macomb, MI
NPI 1669938270 · NPPES record last updated Feb 19, 2019
Key facts
- NPI
- 1669938270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 18191 21 Mile Rd
Macomb, MI 48044-2703 - Phone
- (586) 872-5760
- NPI assigned
- Feb 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Angels Home Services LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
18191 21 Mile Rd
Macomb, MI 48044-2703
Mailing address
18191 21 Mile Rd
Macomb, MI 48044-2703
Phone (586) 872-5760
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8477858 | Medicaid | MI |
Other providers in Macomb, MI
- Sydney J Buckner
- Grazia Buffa
- Bundles of Luv Home Care LLC
- Kyle Joseph Burkardt
- Carla E Butcher
- Joann Butts
- Michael Joseph Hernandez Cabrera
- Keith Edward Callewaert
- Javanna Camaj
- Cambridge Dentistry
All providers in Macomb, MI · Home Health Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2019. 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.