Eminence Home Health

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

376K00000X Issued in MI

Legal business name

EMINENCE HOME HEALTH

Practice address

20061 Bentler St
Detroit, MI 48219-1325

Phone

(313) 778-6868

NPI assigned

Aug 5, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Alicia Sharaim Smiley-Fuller

Title

Certified Nursing Assistant

Phone

(313) 778-6868

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1679704886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20061 BENTLER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191325",
            "telephone_number": "313-778-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20061 BENTLER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191325",
            "telephone_number": "313-778-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENCE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "SMILEY-FULLER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "SHARAIM",
        "authorized_official_title_or_position": "CERTIFIED NURSING ASSISTANT",
        "authorized_official_telephone_number": "313-778-6868",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MI",
            "license": "376K00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petina L Emerson
• Tierra J Emerson, LMSW
• Jessica Rose Emery, MBBCHBAO
• Shyfirska Emery
• Zackary Emery, NP
• Emmanuel House
• Emmanuel House
• Emmanuel House
• Emmanuel House 1&2 Inc.
• Emmanuel House 1&2 Inc.

• Nursing Facility/Intermediate Care Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Nursing Facility/Intermediate Care Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.