Organization Active NPI

Keva Angels Home Care LLC

  • In Home Supportive Care Agency
  • Flint, MI
National Provider Identifier
1730934175
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KEVA ANGELS HOME CARE LLC
Practice address
3432 Davison Rd
Flint, MI 48506-3935
Phone
(810) 341-3344
NPI assigned
Apr 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Rekeeva Yavette BowmanNPI 1154086304
Title
Owner / Caregiver
Phone
(810) 341-3344

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

3432 Davison Rd
Flint, MI 48506-3935

Mailing address

3310 Comanche Ave
Flint, MI 48507-1859
Phone (810) 341-3344

Other identifiers 1

IdentifierTypeStateIssuer
9674923MedicaidMI

National Provider Directory

National Provider Directory

Locations

3432 Davison Rd
Flint, MI 48506
Phone (810) 341-3344

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": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1730934175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 COMANCHE AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071859",
            "telephone_number": "810-341-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 DAVISON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485063935",
            "telephone_number": "810-341-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVA ANGELS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "REKEEVA",
        "authorized_official_middle_name": "YAVETTE",
        "authorized_official_title_or_position": "OWNER / CAREGIVER",
        "authorized_official_telephone_number": "810-341-3344"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9674923",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.