CATRINA MIMS
NPI 1417721879
Custodial Care Facility - Adult Care Home in Detroit, MI

Q: What is Catrina Mims's NPI number?

The NPI number for Catrina Mims is 1417721879. It was assigned to this individual provider in the NPPES registry on November 7, 2023.

Q: What is Catrina Mims's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Catrina Mims was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since November 07, 2023

17669 MCINTYRE ST, DETROIT, MI 48219(248) 274-4435 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Catrina Mims NPPES

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

CATRINA MIMS (NPI 1417721879) is an individual adult care home provider in Detroit, Michigan and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1417721879

Entity TypeIndividualFemale

Primary Taxonomy311ZA0620X

Provider Legal NameCATRINA MIMS

Location Address17669 MCINTYRE STDetroit, MI 48219-2369

Mailing Address15900 W 10 Mile Rd Ste 211Southfield, MI 48075-2079 · (248) 378-7145

Phone(248) 274-4435

Sole ProprietorYes

Enumeration DateNovember 7, 2023

Last NPPES UpdateApril 25, 2025

NPPES CertifiedApril 25, 2025

✔ NPI 1417721879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

17669 MCINTYRE ST, Detroit, MI 48219

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Other Providers at the Same Location NPPES 2

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

A TABLE PREPARED HOME CARE

In Home Supportive Care

17669 MCINTYRE ST
DETROIT, MI 48219

Wayne County (248) 378-7145

CATRINA J MIMS CONSULTING LLC

Assisted Living Facility

17669 MCINTYRE ST
DETROIT, MI 48219

Wayne County (833) 523-7422

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 Catrina Mims's NPI number?

The NPI number for Catrina Mims is 1417721879. It was assigned to this individual provider in the NPPES registry on November 7, 2023.

Where is Catrina Mims located?

Catrina Mims practices at 17669 Mcintyre St, Detroit, MI 48219. The listed phone number is (248) 274-4435.

What is Catrina Mims's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Catrina Mims was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.