Organization Active NPI

Elite Care & Services

  • In Home Supportive Care Agency
  • Southfield, MI
National Provider Identifier
1811725880
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ELITE CARE & SERVICES
Practice address
22277 W 12 Mile Rd Apt 24
Southfield, MI 48034-4668
Phone
(248) 943-5236
NPI assigned
Jul 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Kenyetta WilliamsNPI 1205418563
Title
Owner
Phone
(248) 943-5236

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

22277 W 12 Mile Rd Apt 24
Southfield, MI 48034-4668

Mailing address

22277 W 12 Mile Rd Apt 24
Southfield, MI 48034-4668
Phone (248) 943-5236

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": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1811725880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22277 W 12 MILE RD APT 24",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480344668",
            "telephone_number": "248-943-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22277 W 12 MILE RD APT 24",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480344668",
            "telephone_number": "248-943-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE & SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KENYETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-943-5236"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Jul 22, 2024; 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.