Home Care Prime LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOME CARE PRIME LLC

Practice address

2487 S Bassett St
Detroit, MI 48217-1650

Phone

(313) 610-1215

Fax

(313) 228-5584

NPI assigned

Dec 11, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Corbett -Shedd

Title

Home Care

Phone

(313) 610-1215

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1760020507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 S BASSETT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482171650",
            "telephone_number": "313-610-1215",
            "fax_number": "313-228-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 S BASSETT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482171650",
            "telephone_number": "313-610-1215",
            "fax_number": "313-228-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE PRIME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "CORBETT -SHEDD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "HOME CARE",
        "authorized_official_telephone_number": "313-610-1215",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Heartedly LLC

• Home Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.