GENUINE COMPLETE CARE


Address: 17851 Hoover St, Detroit, MI 48205-3117
Phone: 3134548955

GENUINE COMPLETE CARE (NPI# 1659936789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659936789
Entity Type Organization
Organization Name GENUINE COMPLETE CARE
Practice Address 17851 Hoover St
Detroit
MI 48205-3117
Practice Telephone 3134548955
Mailing Telephone 3134548955
Enumeration Date 2019-05-03
Last Update Date 2019-05-03
Authorized Official Name TIERRA WATTS (OWNER)
Authorized Official Telephone 3134548955
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities GENUINE COMPLETE CARE 25747 Leach St, Roseville, MI 48066-3650

Office Location

Street Address 17851 HOOVER ST
City DETROIT
State MI
Zip Code 48205-3117

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1881124907 Shannon B Nesbitt Licensed Practical Nurse 20074 Strasburg, Detroit, MI 48205 2017-06-13
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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1578173720 Deandre Shaw Home Health 9513 Beaconsfield St, Detroit, MI 48224-2849 2020-08-03
1639787716 Brittany Care Services Home Health 19753 Appoline St, Detroit, MI 48235-1116 2020-07-15
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1811518418 Team Veteran,llc Home Health 19135 Van Dyke St, Detroit, MI 48234-3347 2020-05-05
1518593813 Primary Healthcare Doctors LLC Home Health 13641 7e, Detroit, MI 48205 2020-03-18
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Competitor

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City DETROIT
Zip Code 48205

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Dataset Information

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.

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