NPIMap

Organization Active NPI

St Jude's Home Care Services LLC

Doing business as St Jude's Private Duty and Staffing

  • In Home Supportive Care Agency
  • Sterling Heights, MI
National Provider Identifier
1861151219
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ST JUDE'S HOME CARE SERVICES LLC
Doing business as
St Jude's Private Duty and Staffing
Practice address
6029 E 14 Mile Rd Ste 200C
Sterling Heights, MI 48312-5812
Phone
(313) 398-6776
Fax
(586) 272-2491
NPI assigned
Dec 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Mr. Temitope O Fatiregun, RPTNPI 1023126190
Title
President
Phone
(313) 398-6776

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

6029 E 14 Mile Rd Ste 200C
Sterling Heights, MI 48312-5812

Mailing address

6029 E 14 Mile Rd Ste 200C
Sterling Heights, MI 48312-5812
Phone (313) 398-6776

Other identifiers 1

IdentifierTypeStateIssuer
802564428OtherMISTATE CORPORATE IDENTIFICATION NUMBER

Other names 1

  • St Jude's Private Duty and Staffing Doing business as

National Provider Directory

National Provider Directory

Locations

6029 E 14 Mile Rd
Ste 200C
Sterling Heights, MI 48312
Phone (313) 398-6776

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": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1861151219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 E 14 MILE RD STE 200C",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125812",
            "telephone_number": "313-398-6776",
            "fax_number": "586-272-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 E 14 MILE RD STE 200C",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125812",
            "telephone_number": "313-398-6776",
            "fax_number": "586-272-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE'S HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "FATIREGUN",
        "authorized_official_first_name": "TEMITOPE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-398-6776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CORPORATE IDENTIFICATION NUMBER",
            "identifier": "802564428",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Jude's Private Duty and Staffing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.