Cisseri Health Care
Nurse Practitioner, Family in Farmington Hills, MI. Organization (NPI-2).
NPI number1174005227
StatusActive
Last updated in NPPESSep 5, 2018
Details
- NPI
- 1174005227
- Entity type
- Organization (NPI-2)
- Legal business name
- Cisseri Health Care
- Organization subpart
- No
- Enumeration date
- Sep 5, 2018
- Last updated
- Sep 5, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704240894 | MI | Yes |
| 251E00000X | Home Health | – | MI | |
| 251J00000X | Nursing Care | – | – |
Other names
- Cisseri Health Care (Doing Business As)
Practice location
28931 W 11 Mile RdFarmington Hills, MI 48336
Phone 313-932-2163
Mailing address
28931 W 11 Mile RdFarmington Hills, MI 48336-1403
Phone 313-932-2163
Authorized official
Sarah Kironde
Director
3139322163
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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