Active NPI
Michigan Care Management Solutions LLC
- Chronic Care Clinical Nurse Specialist
- Southfield, MI
National Provider Identifier
1932825668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chronic Care Clinical Nurse Specialist
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1679575328
-
- Adult Medicine Physician
- Smyrna, GA
- NPI 1215245873
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
- Michele Pennington MD Family Medical PLLC
- Michele Thomas, M.D., PLLC
- Collin Michele
- Michfoot Surgeons, P.C.
- Michigan Brain & Spine Physicians Group
- Michigan Care Partners LLC
- Michigan Center for Physical Therapy Inc
- Michigan Colon & Rectal Surgeons, PC
- Michigan Comprehensive Cardiovascular Care PLLC
- Michigan Comprehensive Spine & Rehab PC
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.