NPIMap

Organization Active NPI

Bob & Renia Complete Home Services LLC

  • Licensed Practical Nurse
  • Detroit, MI
National Provider Identifier
1811526791
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
Legal business name
BOB & RENIA COMPLETE HOME SERVICES LLC
Practice address
5211 Berkshire St
Detroit, MI 48224-3205
Phone
(313) 421-4130
NPI assigned
Apr 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Renia ScottNPI 1508403767
Title
Owner
Phone
(313) 421-4130

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)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X Primary

Addresses

Primary practice location

5211 Berkshire St
Detroit, MI 48224-3205

Mailing address

5211 Berkshire St
Detroit, MI 48224-3205
Phone (313) 421-4130

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1811526791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 BERKSHIRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243205",
            "telephone_number": "313-421-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 BERKSHIRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243205",
            "telephone_number": "313-421-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB & RENIA COMPLETE HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "RENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-421-4130"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.