Care Resource Team

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

Legal business name

CARE RESOURCE TEAM

Practice address

5758 Cooley Lake Rd
Waterford, MI 48327-3073

Phone

(248) 421-7633

NPI assigned

Dec 8, 2018

Last updated

Jan 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerri D Medved, RNNPI 1598254344

Title

Owner

Phone

(248) 421-7633

Specialties & licenses 5

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerri Dee Medved, RN, MSN, CCMC

  • Community Health Registered Nurse
  • Waterford, MI
  • NPI 1598254344
  NPD (past) Authorized official

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

{
    "created_epoch": "1544227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1740751346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 SHERWOOD FOREST CT",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271677",
            "telephone_number": "248-421-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5758 COOLEY LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483273073",
            "telephone_number": "248-421-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE RESOURCE TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-08",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "MEDVED",
        "authorized_official_first_name": "JERRI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-421-7633",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376593228",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Canterbury Village Mi Opco LLC
• Jessica Lynn Cantrell, MA
• Hannah Rose Cardinale, RN
• Care More, LLC
• Care Network, LLC
• Leslie A Caren, M.D.
• Caring 4 Loved Ones, Inc
• Kristine Marie Carlson, LLMSW AND LLCSW
• Sean Carr, MSW
• Bonnie Carrier

• Community Health Registered Nurse in Waterford, MI
• Providers in Waterford, MI by specialty
• Community Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.