Individual provider Active NPI

Marquise Catherine McQueen

  • Homemaker
  • Farmington Hills, MI
National Provider Identifier
1952900631
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Practice address
30800 Northwestern Hwy Ste 230
Farmington Hills, MI 48334-2550
Phone
(248) 571-9025
NPI assigned
Oct 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Adult Care Home Facility 311ZA0620X
Chore Provider 372500000X
Adult Companion 372600000X
Home Health Aide 374U00000X
Homemaker 376J00000X Primary

Addresses

Primary practice location

30800 Northwestern Hwy Ste 230
Farmington Hills, MI 48334-2550

Mailing address

30800 Northwestern Hwy Ste 230
Farmington Hills, MI 48334-2550
Phone (248) 571-9025

Other identifiers 1

IdentifierTypeStateIssuer
9390788MedicaidMI

Other names 1

  • Ms. Marquise Catherine McQueen Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address extendedhearts.hands@extendedhh.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Extended Hearts & Hands Home Care In Home Supportive Care CurrentSince Oct 25, 2020 Accepting new patients

Locations

30800 Northwestern Hwy
Ste 230
Farmington Hills, MI 48334
Phone (248) 571-9025

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1952900631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30800 NORTHWESTERN HWY STE 230",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342550",
            "telephone_number": "248-571-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30800 NORTHWESTERN HWY STE 230",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342550",
            "telephone_number": "248-571-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "MARQUISE",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2021-09-27",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9390788",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "extendedhearts.hands@extendedhh.com",
            "affiliation": "N",
            "endpointDescription": "domain",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "domain",
            "address_1": "30800 Northwestern Hwy Ste 230",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483342550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARQUISE",
            "last_name": "MCQUEEN",
            "middle_name": "CATHERINE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.