Active NPI
Shiryl Deen Fouani, CERTIFIED NURSE ASIS
- Home Health Aide
- Dearborn, MI
National Provider Identifier
1730521774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 230014007150308
- Practice address
- 4553 Mead St
Dearborn, MI 48126-3011 - Phone
- (313) 850-7109
- NPI assigned
- Jul 18, 2013
- Last updated
- Jan 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 230014007150308 | MI | Primary |
Addresses
Primary practice location
4553 Mead St
Dearborn, MI 48126-3011
Mailing address
81153 Burlingame St.
Detroit, MI 48202
Phone (313) 444-3493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230014007150308 | MI | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1730521774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81153 BURLINGAME ST.",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-444-3493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4553 MEAD ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263011",
"telephone_number": "313-850-7109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUANI",
"first_name": "SHIRYL",
"middle_name": "DEEN",
"name_prefix": "Mrs.",
"credential": "CERTIFIED NURSE ASIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2022-01-31",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MI",
"license": "230014007150308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.