SUPPORTIVE CARE LLC NPI 1740871763

NPI Information

NPI: 1740871763
Provider Name: SUPPORTIVE CARE LLC
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Organization
Address:
14823 E 12 MILE RD
WARREN, MI
ZIP 48088
Phone: (586) 252-6974
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SUPPORTIVE CARE LLC is a licensed practical nurse in Warren, MI. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. SUPPORTIVE CARE LLC NPI is 1740871763. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14823 E 12 MILE RD
WARREN, MI
ZIP 48088-004
Phone: (586) 252-6974

The provider's authorized official is Brandi Danielle Watters .
The authorized official title is Owner and has the following contact phone number (586) 252-6974.

The enumeration date for this NPI number is 2/2/2021 and was last updated on 2/2/2021.

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
1	164W00000X	Licensed Practical Nurse				Yes

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: 5/5/2024

NPI Synchronization or Removal

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