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Contact Information

KTJ HOME CARE AGENCY LLC
17249 SUNDERLAND RD
DETROIT, MI48219-4203
 Phone: 313-412-2372
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Homemaker

376J00000X
 

In Home Supportive Care

253Z00000X
 

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for KTJ HOME CARE AGENCY LLC

NPI # 1336732585
LBN Legal business name KTJ HOME CARE AGENCY LLC
Authorized official SHERIE TATUM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/18/2021
Last updated 01/16/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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