Tenessa Houston

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

5790 Berkshire St
Detroit, MI 48224-3208

Phone

(313) 587-7039

NPI assigned

Jul 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sertainley S Home Care Limited Liability Company

  • Community Health Worker
  • Detroit, MI
  • NPI 1194416545
  NPD Authorized official
• Sertainley's Home Care LLC

  • Home Health Agency
  • Detroit, MI
  • NPI 1205686607
  NPD Authorized official

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1881265718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 BERKSHIRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243208",
            "telephone_number": "313-587-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5790 BERKSHIRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243208",
            "telephone_number": "313-587-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "TENESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "845080656",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9510367",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amariah Rose Houseknecht, MSW
• Sara Houstina, PA
• Aliyah N Houston
• Karrie Dena Houston, LMSW
• Renee Houston
• Theresa Annette Houston
• Ty R Houston, FNP
• Lashawn Marie Houze
• Alonzo Fulton Hover, CAC1
• Megan Elizabeth Hover, P.A.-C.

• Community Health Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.