SUPPORTIVE CARE SERVICES OF MICHIGAN INC (NPI# 1164541447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164541447 |
| Entity Type | Organization |
| Organization Name | SUPPORTIVE CARE SERVICES OF MICHIGAN INC |
| Other Organization Name | AT HOME SUPPORT |
| Practice Address |
400 Mack Ave Detroit MI 48201-2136 |
| Practice Telephone | 3135785000 |
| Mailing Telephone | 3135785000 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT CAHILL (SENIOR V.P. BUSINESS OPS & CFO) |
| Authorized Official Telephone | 3135785017 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | B0106 | 01 |
| Other Name | Type Code |
|---|---|
| At HOMe Support | Doing Business As Name - Organization |
| Street Address |
400 MACK AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154306355 | John W Finn | Internal Medicine | 400 Mack Ave, Detroit, MI 48201-2136 | 2005-12-09 |
| 1760015622 | Wayne Pediatrics Inc. | Pediatrics | 400 Mack Ave, Detroit, MI 48201-2136 | 2020-02-19 |
| 1558716324 | Stacy Lynn Simons | Registered Nurse | 400 Mack Ave, Detroit, MI 48201-2136 | 2016-04-29 |
| 1467857649 | Furha Shuttari | Nurse Practitioner | 400 Mack Ave, Detroit, MI 48201-2136 | 2014-10-29 |
| 1851410617 | Terri Lynne Mack | Internal Medicine | 400 Mack Ave, Detroit, MI 48201-2136 | 2007-03-29 |
| 1639221401 | Marilyn Elizabeth Remillard | Nurse Practitioner | 400 Mack Ave, Detroit, MI 48201-2136 | 2007-01-18 |
| 1760453195 | Michael Joseph Paletta | Internal Medicine | 400 Mack Ave, Detroit, MI 48201-2136 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043863707 | Eleanor Parnell | Nursing Care | 4229 Humboldt St, Detroit, MI 48208-2520 | 2019-07-22 |
| 1629590609 | Marie Davis | Nursing Care | 14049 Minock St, Detroit, MI 48223 | 2017-07-12 |
| 1871030593 | Niakesha Pate | Nursing Care | 8209 House St, Detroit, MI 48234-3367 | 2017-01-20 |
| 1467807578 | Venus Staffing LLC | Nursing Care | 5601 Devonshire Rd, Detroit, MI 48224 | 2016-04-26 |
| 1306210067 | Brenda Brooks Livingston | Nursing Care | 709 Calvert St, Detroit, MI 48202-1221 | 2015-11-18 |
| 1669868915 | Lavatte Newkirt | Nursing Care | 14580 Greenfield Rd, Apt 147, Detroit, MI 48227-4110 | 2015-04-14 |
| 1437543048 | Kom4care Home Health Services LLC | Nursing Care | 17832 Annott St, Detroit, MI 48205-3106 | 2015-03-20 |
| 1891043436 | Promise Keepers Nursing | Nursing Care | 18145 Cardoni St, Detroit, MI 48203-2492 | 2012-08-28 |
| 1760030480 | My Helping Hand Support Services | Nursing Care | 24621 W Mcnichols Rd, Detroit, MI 48219-3670 | 2019-08-27 |
| 1497162952 | We Care Mihp | Nursing Care | 9133 Hubbell St, Detroit, MI 48228-2332 | 2014-07-16 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on SUPPORTIVE CARE SERVICES OF MICHIGAN INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.