QUEEN OF HEARTS
NPI 1174094627
Licensed Practical Nurse in Detroit, MI

Active since December 10, 2018
1431 WASHINGTON BLVD APT 2306, DETROIT, MI 48226(414) 630-0379 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, Dec 10, 2018 (2 updates tracked since 2018).

About Queen Of Hearts NPPES

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

QUEEN OF HEARTS (NPI 1174094627) is a healthcare organization registered as a licensed practical nurse in Detroit, Michigan and active in the NPI registry since December 2018. The organization lists Nichole Degree, Lpn/owner, as its authorized official.

NPPES Registry Identity

NPI1174094627
Entity TypeOrganization
Primary Taxonomy164W00000X
Legal Business NameQUEEN OF HEARTS
Location Address1431 WASHINGTON BLVD APT 2306Detroit, MI 48226-1728
Mailing Address1431 Washington Blvd Apt 2306Detroit, MI 48226-1728 · (414) 630-0379
Organization SubpartNo
Authorized OfficialNichole DegreeLpn/owner · (414) 630-0379
Enumeration DateDecember 10, 2018
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1174094627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Definition
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.
1431 WASHINGTON BLVD APT 2306, Detroit, MI 48226

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Licensed Practical Nurse
1431 WASHINGTON BLVD APT 2306
DETROIT, MI 48226

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 Queen Of Hearts's NPI number?

The NPI number for Queen Of Hearts is 1174094627. It was assigned to this organization in the NPPES registry on December 10, 2018.

Where is Queen Of Hearts located?

Queen Of Hearts is located at 1431 Washington Blvd Apt 2306, Detroit, MI 48226. The listed phone number is (414) 630-0379.

What is Queen Of Hearts's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Queen Of Hearts was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.