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COORDINATED CARE 1 INC NPI 1174025415


NPI Information

NPI: 1174025415
Provider Name: COORDINATED CARE 1, INC

Doing Business As: COORDINATED CARE 1

Classification: Adult Companion - 372600000X
Entity Type: Organization
Address:
2328 E 7 MILE RD
DETROIT, MI
ZIP 48234
Phone: (248) 443-8044
Get Directions

COORDINATED CARE 1, INC is an adult companion in Detroit, MI. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. COORDINATED CARE 1, INC NPI is 1174025415. The provider is registered as an organization entity type.
The provider Is Doing Business As Coordinated Care 1.

The provider's business location address is:

2328 E 7 MILE RD
DETROIT, MI
ZIP 48234-304
Phone: (248) 443-8044

The provider's authorized official is Gigi J .
The authorized official title is Member and has the following contact phone number (248) 443-8044.

The enumeration date for this NPI number is 3/2/2018 and was last updated on 12/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3343900000XNon-emergency Medical Transport (VAN)No
4372600000XAdult CompanionYes
5171M00000XCase Manager/Care CoordinatorNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105438UOTHERMICHIGANPRIVATE PAY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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