Sophan Buffa, B.A, B.ED

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

929 Berkshire Rd
Grosse Pointe Park, MI 48230-1821

Phone

(586) 719-4051

NPI assigned

Feb 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1871359372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 KERCHEVAL AVE # 322",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301361",
            "telephone_number": "313-444-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 BERKSHIRE RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301821",
            "telephone_number": "586-719-4051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Kercheval Ave",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Farms",
            "state": "MI",
            "postal_code": "482363669",
            "country_code": "US",
            "telephone_number": "313-228-4090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUFFA",
        "first_name": "SOPHAN",
        "credential": "B.A, B.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole Carlson

• In Home Supportive Care Agency in Grosse Pointe Park, MI
• Providers in Grosse Pointe Park, 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 Feb 23, 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.

Verify at the official NPI Registry.