CMK Homecare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CMK HOMECARE

Doing business as

Executive Care

Practice address

19500 Hall Rd
Clinton Township, MI 48038

Phone

(586) 599-0005

NPI assigned

Jan 4, 2018

Last updated

Jan 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine Kirk

Title

Owner

Phone

(586) 599-0005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Executive Care Doing business as

Locations

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1902313562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 HALL RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-599-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 HALL RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-599-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMK HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-599-0005"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE",
            "identifier": "81-096609",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinton Urgent Care Walk-in Clinic
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• Samantha Cloutier, DO
• Stephen Roberts Cluff, D.O.
• Wanda Denise Coates Fountain
• Chester T Coccia, DDS
• Laura Cockerill
• Sonta Cody, LPN NURSE
• Samantha Colavecchia

• Home Health Agency in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.