CATRINA MIMS NPI 1417721879

NPI Information

  • NPI: 1417721879
  • Provider Name: CATRINA MIMS
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Individual
  • Address: 17669 MCINTYRE ST
    DETROIT, MI
    ZIP 48219
  • Phone: (248) 274-4435

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NPI Details

Catrina Mims is an adult care home custodial care facility in Detroit, MI. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. Catrina Mims NPI is 1417721879. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17669 MCINTYRE ST
DETROIT, MI
ZIP 48219-369
Phone: (248) 274-4435

The enumeration date for this NPI number is 11/7/2023 and was last updated on 4/25/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareNo
2311ZA0620XCustodial Care FacilityAdult Care HomeYes

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: 11/21/2025

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