Edwards Home Care Agency Corp

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EDWARDS HOME CARE AGENCY CORP

Practice address

3016 Pearl Ave
Warren, MI 48091-2328

Phone

(313) 319-3160

NPI assigned

May 12, 2023

Organization subpart

No

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

Authorized official

Name

Marcellette F Lee

Title

Owner

Phone

(313) 319-3160

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1841980729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 PEARL AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912328",
            "telephone_number": "313-319-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 PEARL AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912328",
            "telephone_number": "313-319-3160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3016 Pearl Ave",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480912328",
            "country_code": "US",
            "telephone_number": "313-319-3160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDWARDS HOME CARE AGENCY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARCELLETTE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-319-3160"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Warren, MI
• Providers in Warren, 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 May 12, 2023; 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.