America Outreach Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

112227 Issued in MI

Legal business name

AMERICA OUTREACH AGENCY

Practice address

11677 Mansfield St
Detroit, MI 48227-1170

Phone

(313) 918-5835

NPI assigned

May 14, 2013

Last updated

Jun 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Regena Yvette Waller, LICENSEDNPI 1073193686

Title

Owner

Phone

(313) 918-5835

Specialties & licenses 1

Addresses

Other names 1

• America Outreach Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Regena Yvette Waller

  • Home Health Aide
  • Detroit, MI
  • NPI 1073193686
  NPD (past) Authorized official

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1821434150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11677 MANSFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271170",
            "telephone_number": "313-918-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11677 MANSFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271170",
            "telephone_number": "313-918-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICA OUTREACH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "REGENA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-918-5835",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICENSED"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": "112227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "America Outreach",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Maxine Ameen
• Amelia's Little Treasures
• Chinedum Amene, LLPC
• Ahdi A Amer, MD
• Omeed Ameri, DO
• America's Best Contacts & Eyeglasses
• America's Best Contacts & Eyeglasses
• America's Best Contacts and Eyeglasses
• American Ambulance Company
• American Care LLC

• In Home Supportive Care Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.