T&JK Family Home Support Service LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

T&JK FAMILY HOME SUPPORT SERVICE LLC

Practice address

19499 Westbrook St
Detroit, MI 48219-1921

Phone

(313) 717-3535

NPI assigned

Jun 20, 2021

Last updated

Jul 30, 2021By 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

Terrell Terry Kenyon

Title

Owner

Phone

(313) 717-3535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1831768381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2398",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481807198",
            "telephone_number": "313-717-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19499 WESTBROOK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191921",
            "telephone_number": "313-717-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T&JK FAMILY HOME SUPPORT SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-20",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "KENYON",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-717-3535"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jul 30, 2021; 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.