Active NPI
Cecelia McDonald
- In Home Supportive Care Agency
- Detroit, MI
National Provider Identifier
1861982340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 821640527
- Practice address
- 20007 McCormick St
Detroit, MI 48224-1147 - Phone
- (313) 372-1609
- NPI assigned
- May 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 821640527 | MI | Primary |
Addresses
Primary practice location
20007 McCormick St
Detroit, MI 48224-1147
Mailing address
PO Box 36066
Grosse Pointe Farms, MI 48236-0066
Phone (313) 244-1863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Direct Care Staffing LLC | In Home Supportive Care | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Detroit, MI
- NPI 1689203820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1861982340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36066",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482360066",
"telephone_number": "313-244-1863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20007 MCCORMICK ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482241147",
"telephone_number": "313-372-1609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "CECELIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MI",
"license": "821640527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.