Servant Heart Keepers Adult Living

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SERVANT HEART KEEPERS ADULT LIVING

Practice address

15494 Hartwell St
Detroit, MI 48227-3329

Phone

(989) 533-9718

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Paula L Hester

Title

Healthcare Manager

Phone

(989) 533-9718

Specialties & licenses 8

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1902555006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15494 HARTWELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273329",
            "telephone_number": "989-533-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15494 HARTWELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273329",
            "telephone_number": "989-533-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANT HEART KEEPERS ADULT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HEALTHCARE MANAGER",
        "authorized_official_telephone_number": "989-533-9718"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phester.shkal@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15494 Hartwell St",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482273329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brenda Liz Serrano-Nieves
• Ricardo Benjamin Serrano, M.D.
• Esteffania Serrato Cornejo
• Sertainley S Home Care Limited Liability Company
• Sertainley'S Home Care LLC
• Servants Heart Mobile Medical Clinic
• Services to Enhance Potential
• Serving Hearts Group Homes II, LLC
• Malgorzata Serwatka, PT, DPT, CI
• Shivaprakash Seshadri, MD

• Adult Care Home Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.