Organization Active NPI

Sufficient Grace Home Health Care Agency LLC

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1992170625
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUFFICIENT GRACE HOME HEALTH CARE AGENCY LLC
Practice address
8415 La Salle Blvd
Detroit, MI 48206-2445
Phone
(248) 764-3057
NPI assigned
Dec 7, 2015
Last updated
Dec 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Ms. Carlita Chante Williams
Title
Ceo
Phone
(248) 764-3057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

8415 La Salle Blvd
Detroit, MI 48206-2445

Mailing address

8415 La Salle Blvd
Detroit, MI 48206-2445
Phone (248) 764-3057

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1992170625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 LA SALLE BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062445",
            "telephone_number": "248-764-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 LA SALLE BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062445",
            "telephone_number": "248-764-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFICIENT GRACE HOME HEALTH CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CARLITA",
        "authorized_official_middle_name": "CHANTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-764-3057",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.