NICOLE M TUCKERCAUSEY (NPI# 1083058077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083058077 |
| Entity Type | Individual |
| Full Name | NICOLE M TUCKERCAUSEY |
| Practice Address |
22046 Poinciana St Southfield MI 48033-3546 |
| Practice Telephone | 2488855725 |
| Mailing Telephone | 2488855725 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
22046 POINCIANA ST |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-3546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| 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 |
|---|---|---|---|---|
| 1891396115 | Tender Care Homecare Services | In Home Supportive Care | 25331 Lois Ln, Southfield, MI 48075-1040 | 2020-11-03 |
| 1851917538 | Colonial Home Care | In Home Supportive Care | 27680 Franklin Rd # B, Southfield, MI 48034-8203 | 2020-06-18 |
| 1427690205 | Caring for Our Clientele | In Home Supportive Care | 29501 Greenfield Rd # 230, Southfield, MI 48076-2250 | 2019-10-13 |
| 1740832179 | Metro Hcbs LLC | In Home Supportive Care | 18000 W 9 Mile Rd Ste 340, Southfield, MI 48075-4082 | 2019-07-16 |
| 1598322836 | Attentive Home Care Services LLC | In Home Supportive Care | 17800 Northland Park Ct Ste 104b, Southfield, MI 48075-4304 | 2019-05-22 |
| 1124581921 | Cavier Charles Rogers Jr. | In Home Supportive Care | 22760 Civic Center Dr Apt A1, Southfield, MI 48033-7150 | 2019-04-09 |
| 1720549199 | Parrish Palliative Home Services, LLC | In Home Supportive Care | 27211 Lahser Rd Ste 203b, Southfield, MI 48034-8477 | 2019-03-28 |
| 1205300928 | Kali Home Help and Health Services | In Home Supportive Care | 29250 Pointe O Woods Pl Apt 102, Southfield, MI 48034-1235 | 2019-01-15 |
| 1215404215 | Hearts for Hearts | In Home Supportive Care | 21740 Poinciana St, Southfield, MI 48033-5047 | 2018-10-28 |
| 1528533072 | Heart 2 Heart Home Aid Service LLC | In Home Supportive Care | 17520 W 12 Mile Rd Ste 218, Southfield, MI 48076-1945 | 2018-10-11 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on NICOLE M TUCKERCAUSEY.
| 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.