NPI Code Detail JSON Logo

1487528121 NPI number — KIM CARES PRIVATE DUTY HOME CARE

NPI Number: 1487528121
Health Care Provider/Practitioner: KIM CARES PRIVATE DUTY HOME CARE

Information about “1487528121” NPI (KIM CARES PRIVATE DUTY HOME CARE) exists in 1487528121 in HTML format HTML  |  1487528121 in plain Text format TXT  |  1487528121 in PDF (Portable Document Format) PDF  |  1487528121 in an XML format XML  formats.

NPI Number : 1487528121 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487528121",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KIM CARES PRIVATE DUTY HOME CARE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "18643 SCHAEFER HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DETROIT",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48235-1755",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-688-0576",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6417 BAUERVIC BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST BLOOMFIELD",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48322-2237",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-688-0576",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/04/2025",
    "LastUpdateDate": "10/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HASSEL",
    "AuthorizedOfficialFirstName": "KIMBERLY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRIVATE DUTY CARE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CPR, CHHA, CNA",
    "AuthorizedOfficialTelephoneNumber": "248-880-0258",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "174200000X",
          "TaxonomyName": "Meals Provider",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "311500000X",
          "TaxonomyName": "Alzheimer Center (Dementia Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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