TUCKERVILLE.LLC
NPI 1063870293
Home Health in Wayne, MI

Active since February 02, 2016
35230 E MICHIGAN AVE, WAYNE, MI 48184(313) 312-5706 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2023, Jul 24, 2021, Jan 25, 2020 and 4 more (7 updates tracked since 2016).

About Tuckerville.llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TUCKERVILLE.LLC (NPI 1063870293) is a healthcare organization registered as a home health in Wayne, Michigan and active in the NPI registry since February 2016. The organization maintains a secondary practice location in Belleville and lists Fartima Tucker, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1063870293
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameTUCKERVILLE.LLC
Location Address35230 E MICHIGAN AVEWayne, MI 48184-3698
Mailing AddressPo Box 125Belleville, MI 48112-0125 · (313) 303-7423
Organization SubpartNo
Authorized OfficialFartima TuckerCeo/owner · (313) 303-7423
Enumeration DateFebruary 2, 2016
Last NPPES UpdateMarch 24, 20237 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
NPI 1063870293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in MI · E79564
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPublic Health or WelfareTaxonomy 251K00000X · License E79564 (MI)
Also ListedIn Home Supportive CareTaxonomy 253Z00000X · License E79564 (MI)
Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X · License E79564 (MI)
35230 E MICHIGAN AVE, Wayne, MI 48184

Secondary Practice Location 1

Location 19257 E Walden DrBelleville, MI 48111-2488 · Phone (313) 303-7423

Other Identifiers 3

Medicaid8025368MI
Other1437626454MI · Tuckerville, Llc
Other1396097457MI · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
35230 E MICHIGAN AVE
WAYNE, MI 48184
Social Worker (Clinical)
35230 E MICHIGAN AVE
WAYNE, MI 48184
Social Worker (Clinical)
35230 E MICHIGAN AVE
WAYNE, MI 48184
Social Worker (Clinical)
35230 E MICHIGAN AVE
WAYNE, MI 48184

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tuckerville.Llc's NPI number?

The NPI number for Tuckerville.Llc is 1063870293. It was assigned to this organization in the NPPES registry on February 2, 2016.

Where is Tuckerville.Llc located?

Tuckerville.Llc is located at 35230 E Michigan Ave, Wayne, MI 48184. The listed phone number is (313) 312-5706.

What is Tuckerville.Llc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

What insurance does Tuckerville.Llc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Tuckerville.Llc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tuckerville.Llc was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.