Organization Active NPI

Michigan Care Management Solutions LLC

  • Chronic Care Clinical Nurse Specialist
  • Southfield, MI
National Provider Identifier
1932825668
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Care Clinical Nurse SpecialistTaxonomy code 364SC2300X
Legal business name
MICHIGAN CARE MANAGEMENT SOLUTIONS LLC
Practice address
24124 Greenfield Rd
Ste 306
Southfield, MI 48075
Phone
(313) 348-0607
Fax
(313) 447-3705
NPI assigned
Oct 14, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Kimberly Sullivan
Title
Manager
Phone
(248) 894-8905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Care Clinical Nurse Specialist 364SC2300X Primary

Addresses

Primary practice location

24124 Greenfield Rd
Ste 306
Southfield, MI 48075

Mailing address

1800 Iroquois St
Detroit, MI 48214-2748
Phone (248) 894-8905

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1932825668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 IROQUOIS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142748",
            "telephone_number": "248-894-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24124 GREENFIELD RD",
            "address_2": "STE 306",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "313-348-0607",
            "fax_number": "313-447-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN CARE MANAGEMENT SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-09",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-894-8905"
    },
    "taxonomies": [
        {
            "code": "364SC2300X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Chronic Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.