Organization Active NPI

Three Queens Home Health Care LLC

  • In Home Supportive Care Agency
  • Detroit, MI
National Provider Identifier
1871081216
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
THREE QUEENS HOME HEALTH CARE LLC
Practice address
13606 Asbury Park
Detroit, MI 48227-1330
Phone
(313) 719-7710
NPI assigned
May 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Mrs. Sandra Elaine Johnson
Title
Owner
Phone
(313) 719-7710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X MI Primary

Addresses

Primary practice location

13606 Asbury Park
Detroit, MI 48227-1330

Mailing address

13606 Asbury Park
Detroit, MI 48227-1330
Phone (313) 719-7710

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1871081216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13606 ASBURY PARK",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271330",
            "telephone_number": "313-719-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13606 ASBURY PARK",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271330",
            "telephone_number": "313-719-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE QUEENS HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-719-7710",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": null,
            "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 May 1, 2018; 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.