Sue Demianenko

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

4343 Miller Rd
Mussey, MI 48014-3315

Phone

(810) 395-7501

NPI assigned

Apr 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1952154452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 MILLER RD",
            "city": "MUSSEY",
            "state": "MI",
            "postal_code": "480143315",
            "telephone_number": "810-395-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 MILLER RD",
            "city": "MUSSEY",
            "state": "MI",
            "postal_code": "480143315",
            "telephone_number": "810-395-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMIANENKO",
        "first_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capac Medical Center P C
• Janet Doolan, BS, BA
• Ehardt'S Pharmacy Incorporated
• Elizabeth Vinckier Kersten DDS PLLC
• Nichole M Harrington
• Healthstat Onsite Clinic Keihin Capac

• Home Health Aide in Mussey, MI
• Providers in Mussey, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.