Active NPI
Raysen Care Services LLC
- Child Intellectual and/or Developmental Disabilities Respite Care
- Keego Harbor, MI
National Provider Identifier
1871036442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Legal business name
- RAYSEN CARE SERVICES LLC
- Practice address
- 3297 Orchard Lake Rd # 200
Keego Harbor, MI 48320-1305 - Phone
- (248) 494-0447
- NPI assigned
- Nov 29, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Senedu A Sherrod
- Title
- President
- Phone
- (248) 494-0447
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Chore Provider | 372500000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Primary |
Addresses
Primary practice location
3297 Orchard Lake Rd # 200
Keego Harbor, MI 48320-1305
Mailing address
3297 Orchard Lake Rd Unit 200
Keego Harbor, MI 48320-1305
Phone (248) 494-0447
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Adult Companion
- Keego Harbor, MI
- NPI 1720632300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719273600000",
"number": "1871036442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3297 ORCHARD LAKE RD UNIT 200",
"city": "KEEGO HARBOR",
"state": "MI",
"postal_code": "483201305",
"telephone_number": "248-494-0447",
"fax_number": "248-439-0517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3297 ORCHARD LAKE RD # 200",
"city": "KEEGO HARBOR",
"state": "MI",
"postal_code": "483201305",
"telephone_number": "248-494-0447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYSEN CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-29",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A",
"authorized_official_last_name": "SHERROD",
"authorized_official_first_name": "SENEDU",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-494-0447"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keego Harbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.