Blue Leaf Homecare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BLUE LEAF HOMECARE, LLC

Practice address

18701 Grand River Ave # 327
Detroit, MI 48223-2214

Phone

(313) 405-7668

Fax

(313) 450-4321

NPI assigned

Mar 16, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Tatisha Miller

Title

Owner/ Chief Operating Officer

Phone

(313) 405-7668

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1891094892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29488 WOODWARD AVE",
            "address_2": "#234",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730903",
            "telephone_number": "313-405-7668",
            "fax_number": "313-450-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18701 GRAND RIVER AVE # 327",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232214",
            "telephone_number": "313-405-7668",
            "fax_number": "313-450-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE LEAF HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TATISHA",
        "authorized_official_title_or_position": "OWNER/ CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "313-405-7668",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "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": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blossom With Nutrition LLC
• Andrea Blount
• Hadiah Blount
• Patricia Savage Blount, P.T.
• Blue Cross Home Care
• Blue Pharmacy LLC
• Blue Pharmacy LLC
• Blue Water Pain Specialists PC
• Kenneth Deon Blue, CADCM
• Bluesky Homecare Services LLC

• In Home Supportive Care Agency in Detroit, MI
• Providers in Detroit, 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 Sep 7, 2012; 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.