Organization Active NPI

Southeastern Michigan Homecare Solutions, Inc

  • In Home Supportive Care Agency
  • Grosse Pointe Farms, MI
National Provider Identifier
1720401458
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SOUTHEASTERN MICHIGAN HOMECARE SOLUTIONS, INC
Practice address
102 Kercheval Ave Ste 100
Grosse Pointe Farms, MI 48236-3660
Phone
(313) 794-9036
Fax
(313) 794-9039
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
Thomas GordonNPI 1780007401
Title
President
Phone
(313) 794-9036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

102 Kercheval Ave Ste 100
Grosse Pointe Farms, MI 48236-3660

Mailing address

102 Kercheval Ave Ste 100
Grosse Pointe Farms, MI 48236-3660
Phone (313) 794-9036

Other identifiers 1

IdentifierTypeStateIssuer
03318QOtherMISTATE OF MICHIGAN

National Provider Directory

National Provider Directory

Locations

102 Kercheval Ave
Ste 100
Grosse Pointe Farms, MI 48236
Phone (313) 794-9036

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1720401458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 KERCHEVAL AVE STE 100",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363660",
            "telephone_number": "313-794-9036",
            "fax_number": "313-794-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 KERCHEVAL AVE STE 100",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363660",
            "telephone_number": "313-794-9036",
            "fax_number": "313-794-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN MICHIGAN HOMECARE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-794-9036"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "03318Q",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.