Active NPI
Nexus Blue Home Care Agency LLC
- Community/Behavioral Health Agency
- Southfield, MI
National Provider Identifier
1740903285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NEXUS BLUE HOME CARE AGENCY LLC
- Practice address
- 18000 W 9 Mile Rd
Southfield, MI 48075-4009 - Phone
- (248) 996-5369
- NPI assigned
- Sep 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cheryl Ann D Edwards
- Title
- Ceo
- Phone
- (248) 996-5369
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
18000 W 9 Mile Rd
Southfield, MI 48075-4009
Mailing address
2728 Ravenglass Rd
Waterford, MI 48329-2643
Phone (248) 996-5369
National Provider Directory
National Provider DirectoryLocations
18000 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 327-6196
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Southfield, MI
- NPI 1396313169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663632000000",
"number": "1740903285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2728 RAVENGLASS RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483292643",
"telephone_number": "248-996-5369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18000 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754009",
"telephone_number": "248-996-5369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXUS BLUE HOME CARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "CHERYL ANN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "248-996-5369",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.