BLUE CROSS HOME CARE (NPI# 1386067346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386067346 |
| Entity Type | Organization |
| Organization Name | BLUE CROSS HOME CARE |
| Practice Address |
9000 E Jefferson Ave Ste 14-2 Detroit MI 48214-4188 |
| Practice Telephone | 9546016117 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |
| Authorized Official Name | PENNY GRAY (CREDENTIALING) |
| Authorized Official Telephone | 9413777622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
9000 E JEFFERSON AVE STE 14-2 |
| City | DETROIT |
| State | MI |
| Zip Code | 48214-4188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184271827 | Nour Travis | Pharmacy | 9000 E Jefferson Ave, Detroit, MI 48214-4188 | 2019-08-19 |
| 1689021479 | Tamara Trenae Ward | Technician, Other | 9000 E Jefferson Ave, Apt. 5-15, Detroit, MI 48214-4188 | 2016-05-21 |
| 1629445291 | Charisse Sanders | Home Health Aide | 9000 E Jefferson Ave, 11-14, Detroit, MI 48214-4188 | 2015-08-30 |
| 1700260411 | Jessica Marie O'brien | Social Worker | 9000 E Jefferson Ave, Apt. 24-11, Detroit, MI 48214-4188 | 2015-07-13 |
| 1316339013 | Sylvia Winborn | Registered Nurse | 9000 E Jefferson Ave, Apt 11-01, Detroit, MI 48214-4188 | 2015-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042325 | Tamara Wesley | Registered Nurse | 9000 E. Jefferson Apt 28-14, Detroit, MI 48214 | 2018-02-06 |
| 1720534381 | Birth Beautiful Detroit | Clinic/Center | 1086 Baldwin, Detroit, MI 48214 | 2016-09-01 |
| 1225402886 | Steven Doyle Whatley I | Counselor | 1423 Field Ave., Adult Well Being Services, Detroit, MI 48214 | 2015-11-19 |
| 1255587945 | Andrew Avery | Internal Medicine | 7733 East Jefferson Ave, Detroit, MI 48214 | 2008-08-13 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1629299433 | Alan R Faber Jr. | Dentist | 8191 E Jefferson Ave, Detroit, MI 48214 | 2007-05-01 |
| 1518188598 | Mary F Bridges | Psychiatry & Neurology | 8120 East Jefferson #3l, Detroit, MI 48214 | 2007-05-01 |
| 1053439737 | Geraldine Etella Davis | Counselor | 3840 Fairview St., Detroit, MI 48214 | 2007-03-27 |
| 1639203482 | Detroit-macomb Hospital Corporation | Advanced Practice Midwife | 7815 E. Jefferson, Detroit, MI 48214 | 2007-03-15 |
| 1033275441 | Anesha Amor Rouse | Physical Therapy Assistant | 7633 E. Jefferson Ave, Suite 170, Detroit, MI 48214 | 2006-12-29 |
| Find all providers in zip 48214 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588285001 | Kadeidra Woods | In Home Supportive Care | 18709 Albion St, Detroit, MI 48234-3701 | 2020-05-06 |
| 1497375547 | Continuum Loving Care, LLC | In Home Supportive Care | 16724 Saint Marys St, Detroit, MI 48235-3653 | 2020-04-19 |
| 1225670656 | Veronica Louise Williams | In Home Supportive Care | 7601 E Jefferson Ave Apt 512, Detroit, MI 48214-3720 | 2019-10-17 |
| 1386298438 | Jewels Home Health Care Service, LLC | In Home Supportive Care | 14005 Roselawn St, Detroit, MI 48238-2469 | 2019-07-27 |
| 1154974541 | Tracie's Loving Touch Senior Services LLC | In Home Supportive Care | 18273 Lenore, Detroit, MI 48219-3046 | 2019-07-24 |
| 1477105369 | Cam Fam Community Care LLC | In Home Supportive Care | 16718 Vaughan St, Detroit, MI 48219-3356 | 2019-07-11 |
| 1326500547 | Averies Care Services LLC | In Home Supportive Care | 18717 Schaefer Hwy, Detroit, MI 48235-1767 | 2019-04-05 |
| 1962985598 | Delanie House LLC | In Home Supportive Care | 9530 Chatham, Detroit, MI 48239-1306 | 2018-09-10 |
| 1427536226 | Imperial Jewelry By Ellice, Inc | In Home Supportive Care | 13704 Keal St # 101, Detroit, MI 48227-3019 | 2018-08-02 |
| 1134605363 | Phoenix Wings | In Home Supportive Care | 2222 Lothrop St, Detroit, MI 48206-2672 | 2018-07-11 |
| Find all providers in DETROIT | ||||
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| 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.