Organization Active NPI

University Homecare

  • Pediatric Skilled Nursing Facility
  • Belleville, MI
National Provider Identifier
1790100766
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
4703084955 Issued in MI
Legal business name
UNIVERSITY HOMECARE
Practice address
11619 Meadows Cir
Belleville, MI 48111-3182
Phone
(734) 716-4894
NPI assigned
Feb 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Gloria Jean Allen, LPN
Title
Licensed Practical Nurse
Phone
(734) 431-1246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 4703084955 MI Primary

Addresses

Primary practice location

11619 Meadows Cir
Belleville, MI 48111-3182

Mailing address

11619 Meadows Cir
Belleville, MI 48111-3182
Phone (734) 716-4894

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1790100766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11619 MEADOWS CIR",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481113182",
            "telephone_number": "734-716-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11619 MEADOWS CIR",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481113182",
            "telephone_number": "734-716-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
        "authorized_official_telephone_number": "734-431-1246",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "MI",
            "license": "4703084955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.