Shanny'S Home Care LLC

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Legal business name

SHANNY'S HOME CARE LLC

Practice address

19194 Packard St
Detroit, MI 48234-3106

Phone

(586) 443-3334

Fax

(866) 243-4640

NPI assigned

Apr 19, 2018

Organization subpart

No

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

Authorized official

Name

Arecia Patrice LoveNPI 1194001727

Title

Owner

Phone

(586) 443-3334

Specialties & licenses 1

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.

• Arecia Patrice Love, NURSING ASSISTANT

  • Nurse's Aide
  • Jacksonville, FL
  • NPI 1194001727
  NPD (past) Authorized official

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1740777291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19194 PACKARD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343106",
            "telephone_number": "586-443-3334",
            "fax_number": "866-243-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19194 PACKARD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343106",
            "telephone_number": "586-443-3334",
            "fax_number": "866-243-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNY'S HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2022-04-18",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "ARECIA",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-443-3334"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE",
            "identifier": "1194001727",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianne Lajoyce Shannon, LLBSW
• Marquisa Danae Shannon, B.A,M.B.A
• Melissa Shannon, R.D.
• Phillip Shannon
• Shanna Shannon
• Shanta Corporation (St Annes Convalescent Center)
• Christina Mubarak Shanti, M.D.
• Yusra Fatima Shao, MD
• Peter Shaouni
• Ashley Shaow

• Nurse's Aide in Detroit, MI
• Providers in Detroit, MI by specialty
• Nurse's Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.